Intracardiac or intrapulmonary shunts were present in at least 35% of adults with homozygous sickle cell disease followed in an outpatient clinic - Bryan C. Hambley; Rania Abdul Rahman; Maxwell Reback; Mary Ann O’Riordan; Nathan Langer; Robert C. Gilkeson; Mahazarin Ginwalla; Jane A. Little; Robert Schilz (Haematologica, 2019)