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Transcranial Doppler Ultrasound Identifies patients with Right-to-Left Cardiac or Pulmonary Shunts
Neurol 41:1902-1904, Chimowitz,M.I.,et al, 1991
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Article Abstract
We performed transcranial Doppler ultrasound(TCD)and transeophageal contrast echocardiography simultaneously in four patients.In one patient with a patent foramen ovale and another patient with pulmonary A-V fistulae,we detected micro air bubbles in the right middle cerebral artery three to five cardiac-cycles after their appearance in the left atrium following intravenous injection of contrast.In two patients without right- to-left shunts,we did not detect air bubbles in the left atrium or middle cerebral artery following injection of contrast.These results show that TCD can identify patients with right-to-left cardiac or pulmonary shunts.
 
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doppler
doppler,transcranial
echocardiogram
echocardiogram,contrast
echocardiogram,transesophageal
embolism,paradoxical
fistula,arterio-venous
fistula,arterio-venous,pulmonary
right-left cardiac shunt
ultrasonography

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