title: [Unusual left-to-right shunt].
abstract: A case of a 58-year-old woman with restrictive cardiomyopathy and unusual interatrial left-to-right shunt is presented. Transthoracic echocardiography suggested the coronary artery fistula draining into right atrium. Transoesophageal echocardiography revealed patent foramen ovale with concomitant left-to-right shunt. Increased pressure within the both enlarged atria caused the inefficiency of the valve of PFO and interatrial leak leading to 'acquired form' of an atrial septal defect.
authors.affiliation: Instytut Kardiologii, ul. Alpejska 42, 04-628 Warszawa. awojcik@ikard.pl
authors.forename: Anna
authors.initials: A
authors.lastname: Wójcik
authors.forename: Anna
authors.initials: A
authors.lastname: Klisiewicz
authors.forename: Piotr
authors.initials: P
authors.lastname: Hoffman
mesh_terms: D002312:Cardiomyopathy, Hypertrophic / Q000150:complications* / Q000000981:diagnostic imaging*; D004452:Echocardiography / Q000379:methods; D017548:Echocardiography, Transesophageal; D005260:Female; D054092:Foramen Ovale, Patent / Q000150:complications* / Q000000981:diagnostic imaging*; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged