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Cardiac Shunt

An abnormal passage of blood between two areas of the heart or major vessels that bypasses normal circulatory pathways. Shunts can be left-to-right, causing volume overload, or right-to-left, causing systemic hypoxemia.

Key Facts

  • Left-to-right shunts divert oxygenated blood back to the lungs, increasing pulmonary blood flow and cardiac workload.
  • Right-to-left shunts allow deoxygenated blood to bypass the lungs and enter systemic circulation, causing cyanosis.
  • The direction of shunting depends on the relative pressure and resistance between the connected vessels.
  • Surgical or interventional closure is often required to prevent progressive cardiac damage.

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