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Chest, Vol 102, 1690-1692, Copyright © 1992 by American College of Chest Physicians

ARTICLES

Using contrast material-enhanced echocardiography to identify abnormal pulmonary arteriovenous connections in patients with hypoxemia

HM Dansky, ME Schwinger and MV Cohen
Division of Cardiology, Montefiore Medical Center, New York.

The phenomenon of abnormal pulmonary arteriovenous connections in patients with acquired lung disease rarely has been reported. We report three patients with acquired lung disease and hypoxia that did not respond to the administration of 100 percent oxygen. Contrast-material- enhanced echocardiography demonstrated intrapulmonary right-to-left shunting in all three patients. These cases suggest that patients with hypoxia due to acquired lung disease may be screened by contrast- enhanced echocardiography to identify the presence and the location of anatomic right-to-left shunts.


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