Chest Email Content Delivery
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hazlett, D. R.
Right arrow Articles by Medina, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hazlett, D. R.
Right arrow Articles by Medina, J.
(Chest. 1971;60:89-92.)
© 1971 American College of Chest Physicians

Postural Effects on the Bruit and Right-to-Left Shunt of Pulmonary Arteriovenous Fistula

David R. Hazlett M.C.1 and Jose Medina MC2

1 Chief, Pulmonary Function Laboratory
2 Cardiology Service

The effects of posture on the bruit and magnitude of the right-to-left shunt of a patient with a peripheral right lower lobe pulmonary A-V fistula are reported. A four-months-pregnant woman presented with an unexplained right hemiparesis. After delivery, a continuous murmur in the right lung base was detected. Subsequent studies showed that the loudest bruit and lowest PaO2 occurred when the patient stood up, while the softest bruit and highest PaO2 occurred when the patient lay in the right lateral decubitus position. These studies indicated that changes in the position of the diaphragm and mediastinum, form of the thorax, and/or volume of the lung had modified the known hydrostatic effects on pulmonary A-V fistulous blood flow.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1971 by the American College of Chest Physicians.