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