Agitated saline contrast echocardiography reveals a systemic-to-pulmonary venous shunt

Echocardiography. 2018 May;35(5):747-749. doi: 10.1111/echo.13859. Epub 2018 Mar 6.

Abstract

Contrast echocardiography with agitated saline is used to assess mainly the existence of interatrial communication. We report a case of a 26-year-old woman, with a "port-a-cath" central venous line, who had an unusual finding in agitated saline contrast echocardiography. Multimodality imaging revealed occlusion of superior vena cava and a systemic-to-pulmonary venous shunt.

Keywords: cardiac magnetic resonance imaging; computed tomography; contrast echocardiography.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Echocardiography / methods*
  • Female
  • Heart Septal Defects, Atrial / diagnosis*
  • Humans
  • Pulmonary Veins / abnormalities
  • Pulmonary Veins / diagnostic imaging*
  • Sodium Chloride / pharmacology*
  • Vena Cava, Superior / abnormalities
  • Vena Cava, Superior / diagnostic imaging*

Substances

  • Sodium Chloride

Supplementary concepts

  • Atrial Septal Defect Sinus Venosus