title: Right-to-left shunt through a patent foramen ovale caused by severe tricuspid regurgitation detected with color Doppler echocardiography.
abstract: We describe a 65-year-old patient with moderate combined mitral disease and severe tricuspid regurgitation, in whom the tricuspid regurgitant jet was oriented toward the interatrial septum. Color flow and pulsed Doppler demonstrated a late-systolic to mid-diastolic, right-to-left shunting of the tricuspid regurgitant jet through the foramen ovale. This finding was subsequently confirmed with transesophageal echocardiography.
authors.affiliation: Heart Institute, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: D
authors.initials: D
authors.lastname: Harpaz
authors.forename: M
authors.initials: M
authors.lastname: Motro
authors.forename: E
authors.initials: E
authors.lastname: Kaplinsky
authors.forename: Z
authors.initials: Z
authors.lastname: Vered
mesh_terms: D000368:Aged; D015150:Echocardiography, Doppler; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D013599:Systole; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging*