Related Experiment Video
Updated: Jun 17, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
[Unusual left-to-right shunt]
Anna Wójcik1, Anna Klisiewicz, Piotr Hoffman
1Instytut Kardiologii, ul. Alpejska 42, 04-628 Warszawa. awojcik@ikard.pl
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.
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