As the needle tip progressed from
the high right atrium to the inferior vena cava, the thin foramen ovale manifested as a hypoechoic region between the thick limbus fossae ovalis and the tendon of Todaro (with a diagonal artifact from the ICE catheter and sheath).
Not exact matches
Surgical retrieval of worms from the
right atrium,
right ventricle, and vena cavae via jugular venotomy can be attempted in patients with
high worm burdens detected by echocardiography.
The еtiology for rupture of the left
atrium is uncleаr, but probably is related with the
high pressure in the left and
right atrium and the so called jet lesions from the mitral and tricuspid regurgitation.
So we decided to use pulmonary hypertension properly and make the dose of sildenafil lower — 1 mg / kg / 24 h. with presumption that
higher right ventricle and
right atrium pressure will make the amount of the shunt lower.
In this situation sildenafil makes the pulmonary pressure lower and facilitate the shunt from
high pressure left
atrium to low pressure
right atrium.