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Intracardiac or intrapulmonary shunts were present in at least 35% of adults with homozygous sickle cell disease followed in an outpatient clinic

Division of Pulmonary and Critical Care Medicine, Department of Medicine, University Hospitals Cleveland Medical Center (UHCMC) and Case Western Reserve University (CWRU)
Division of Pulmonary and Critical Care Medicine, Department of Medicine, University Hospitals Cleveland Medical Center (UHCMC) and Case Western Reserve University (CWRU)
Division of Internal Medicine, Department of Medicine, UHCMC and CWRU
Department of Pediatrics, Rainbow Baby and Children’s Hospital and CWRU
Division of Hematology and Oncology, Department of Medicine, UHCMC and CWRU
Division of Cardiothoracic Imaging, Department of Radiology, UHCMC and CWRU
Division of Cardiovascular Medicine, Department of Medicine, UHCMC and CWRU, Cleveland, OH, USA
Division of Hematology and Oncology, Department of Medicine, UHCMC and CWRU
Division of Pulmonary and Critical Care Medicine, Department of Medicine, University Hospitals Cleveland Medical Center (UHCMC) and Case Western Reserve University (CWRU)
Vol. 104 No. 1 (2019): January, 2019 https://doi.org/10.3324/haematol.2018.196212