2018
DOI: 10.1111/echo.14110
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The aquarium in the right heart

Abstract: We presented a case with massive hepatic portovenous gas (HPVG) and gastric emphysema, probably due to increased intraluminal pressure in the stomach after bagging and noninvasive ventilation. There are multiple microbubbles in the inferior vena cava, right atrium and right ventricle. There has been only one case report ever published showing the similar features of the "aquarium sign" in the right heart in a patient with intussusception. We believe our case is a good illustration of this extremely rare entity… Show more

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Cited by 3 publications
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“…Also, the transfer of excessive gas to the systemic circulation via the left gastric vein and then the odd vein cannot be excluded, as described by Lun and Shum. 15 In our case, it is definitely more difficult to explain the mechanism of gas displacement to the left heart, coronary vessels, aorta and its branches. In the presence of gas in the right heart, simple embolism most often occurs i.e., gas from the right cavities of the heart enters the pulmonary vessels.…”
Section: Resultsmentioning
confidence: 68%
“…Also, the transfer of excessive gas to the systemic circulation via the left gastric vein and then the odd vein cannot be excluded, as described by Lun and Shum. 15 In our case, it is definitely more difficult to explain the mechanism of gas displacement to the left heart, coronary vessels, aorta and its branches. In the presence of gas in the right heart, simple embolism most often occurs i.e., gas from the right cavities of the heart enters the pulmonary vessels.…”
Section: Resultsmentioning
confidence: 68%