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Lawrence A. Gould, MD
The Methodist Hospital Brooklyn, NY

JAMA. 1988;259(4):519.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—The physical examination of the patient revealed a normal physiological split of the second heart sound. The second heart sound did not have a fixed split. A two-dimensional echocardiogram was performed with injection of saline into a peripheral vein. There was no evidence of a right-to-left shunt from the right atrium to the left atrium.

Hydrogen was not introduced during the right-sided catheterization and blood samples were not obtained to evaluate a possible step-up in the oxygen saturation. . . . [Full Text PDF of this Article]

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