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Daniel X Augustine, Lindsay D Coates-Bradshaw, James Willis, Allan Harkness, Liam Ring, Julia Grapsa, Gerry Coghlan, Nikki Kaye, David Oxborough, Shaun Robinson, Julie Sandoval, Bushra S Rana, Anjana Siva, Petros Nihoyannopoulos, Luke S Howard, Kevin Fox, Sanjeev Bhattacharyya, Vishal Sharma, Richard P Steeds, Thomas Mathew, and the British Society of Echocardiography Education Committee

) within these patients is reasonable, at rest and during exercise ( 3 , 6 ) or during follow-up of an individual patient. However, confirmation with right heart catheterisation (RHC) should be considered, particularly if the presence of PH is a major

Open access

Mashail Alobaidan, A Saleem, H Abdo, and J Simpson

shortness of breath on exertion. Physical examination was remarkable for a right ventricular heave, fixed splitting of the second heart sound and an ejection murmur in the pulmonary area. Transthoracic echocardiography confirmed a large 25 mm secundum atrial

Open access

A J Fletcher, S Robinson, and B S Rana

assessment the gold-standard measurement technique remains invasive right-heart catheterisation (RHC), a procedure which requires radiation exposure, is associated with a degree of patient risk and is not available as a bedside test; RHC is, therefore

Open access

Kuberan Pushparajah, Phuoc Duong, Sujeev Mathur, and Sonya V Babu-Narayan

of a clinical decompensation instead of invasive catheterisation. Figure 20 Contrast-enhanced rendered volume of a patent with hypoplastic left heart syndrome following Norwood stage I with right

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Ying X Gue, Sanjay S Bhandari, and Damian J Kelly

cardiac catheterisation lab for coronary angiography and primary percutaneous coronary intervention (PCI). Figure 1 ECG on arrival. Investigation Coronary angiography revealed minimal atheroma within the right coronary artery (RCA

Open access

Petros Nihoyannopoulos

. Echocardiography is rapidly becoming a multimodal technique in its own right. With the explosion of interventions for non-surgical structural heart disease, echocardiography has responded to the challenge with rapid developments of the real-time three

Open access

Bushra S Rana, Shaun Robinson, Rajeevan Francis, Mark Toshner, Martin J Swaans, Sharad Agarwal, Ravi de Silva, Amer A Rana, and Petros Nihoyannopoulos

fraction, exercise tolerance and life expectancy as well as higher surgical risk. Hence, careful assessment including right heart catheterisation and RV function assessment may be necessary when considering treatment options. Residual tricuspid

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Antigoni Deri and Kate English

augmentation of the shunt during atrial contraction ( 2 ). The shunt across the VSD is present throughout the cardiac cycle and provides increased blood flow to the pulmonary circulation, resulting in left heart dilatation. Right to left or bidirectional shunt

Open access

Camelia Demetrescu, Shelley Rahman Haley, and Aigul Baltabaeva . Download Video 7 Right heart catheterisation recorded a right atrial pressure of 15 mmHg, mean pulmonary artery pressure 35 mmHg and a pulmonary capillary wedge pressure of

Open access

Michelle Carr, Stephanie Curtis, and Jan Marek

; Supravalvar aortic stenosis; Coarctation of the aorta. Sub(valvar) aortic stenosis Subaortic stenosis describes a group of congenital heart lesions that result in obstruction of blood flow just under the aortic valve in the left ventricular