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Document Details : Title: How a left-to-right shunt may protect against haemodynamic deterioration in restrictive cardiomyopathy Author(s): VAN MIEGHEM, Nicolas , DAENEN, Wim , BUDTS, Werner Journal: Acta Cardiologica Volume: 60 Issue: 3 Date: June 2005 Pages: 337-340 DOI: 10.2143/AC.60.3.2005014 Abstract : Today, more and more children with complex heart lesions and underlying cardiomyopathies reach adulthood.This results in a wide range of new clinical problems encountered in later life.In particular, idiopathic restrictive cardiomyopathy is initially treated by medication to reduce symptoms, but at end-stage disease, heart or heart-lung transplantation becomes unavoidable.We describe the case of a patient with restrictive cardiomyopathy and a persistent extra-cardiac left-to-right shunt,where we hypothesize that the shunt may protect against haemodynamic deterioration in end-stage restrictive cardiomyopathie. |
