Nesser H J, Witzmann A, Markt B, Davogg S, Gmeiner R, Valencak E
Wien Med Wochenschr. 1985 Jun 15;135(11):269-72.
A 29-year-old patient with a Pudenz-Heyer-shunt was assigned to examination because of exercise-induced dyspnea after 10 years of uncomplicated follow-up. Echocardiography established the diagnosis of advanced cor pulmonale, the cause being multiple pulmonary embolism produced by thrombotic layers on the shunt-tube. During anticoagulant therapy right heart decompensation with fatal outcome occurred.
