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Ann Thorac Surg 1976;21:114-122
© 1976 The Society of Thoracic Surgeons

Articles

Communication between the Pulmonary and Systemic Circulations

Richard J. Thurer, M.D.*

From the Division of Thoracic and Cardiovascular Surgery, University of Miami School of Medicine-Jackson Memorial Hospital, and the Section of Thoracic and Cardiovascular Surgery, Veterans Administration Hospital, Miami, FL.

Accepted for publication July 2, 1975.

* Address reprint requests to Dr. Thurer, Division of Thoracic and Cardiovascular Surgery, University of Miami School of Medicine, PO Box 520875, Biscayne Annex, Miami, FL 33152

Communications between the pulmonary and systemic circulation occur normally and also in association with a number of pathological entities. On the basis of recent experience I believe that this phenomenon occurs more frequently than has previously been appreciated and may assume significant clinical importance in many cases.

This report reviews the spectrum of the phenomenon of systemic-pulmonary vascular connection, particularly with regard to its occurrence and recognition in the adult age group. A number of illustrative cases are reported and the pertinent literature is reviewed.




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