title: Right-to-left atrial shunting with normal intracardiac pressures following cardiac surgery: pathophysiology and management.
abstract: We present a case of acute respiratory insufficiency with right-to-left atrial shunting under normal intracardiac pressures discovered several days after aortic surgery for aortic dissection. We discuss the possible mechanisms and management of right-to-left atrial shunting through an atrial septum defect with normal intracardiac pressures following cardiac surgery.
authors.affiliation: Department of Cardiology, Erasmus MC Thoraxcenter, Rotterdam, The Netherlands. j.brugts@erasmusmc.nl
authors.forename: J J
authors.initials: JJ
authors.lastname: Brugts
authors.forename: C
authors.initials: C
authors.lastname: Liesting
authors.forename: M J M
authors.initials: MJ
authors.lastname: Kofflard
authors.forename: E J
authors.initials: EJ
authors.lastname: van den Bos
mesh_terms: D000368:Aged; D001019:Aortic Rupture / Q000601:surgery*; D001794:Blood Pressure; D005260:Female; D054092:Foramen Ovale, Patent / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006325:Heart Atria; D006331:Heart Diseases / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D012131:Respiratory Insufficiency / Q000209:etiology*; D058017:Vascular Grafting