Right to left shunt: Difference between revisions

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#Redirect[[Right-to-left shunt]]
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== Overview ==
A '''right-to-left shunt''' is a [[heart|cardiac]] [[cardiac shunt|shunt]] which allows, or is designed to cause, [[blood]] to [[circulatory system|flow]] from the [[right heart]] to the [[left heart]].  This terminology is used both for the abnormal state in humans and for normal physiological shunts in [[reptile]]s.
 
A right-to-left shunt occurs when:
#there is an opening or passage between the [[atria]], [[Ventricle (heart)|ventricle]]s, and/or [[great vessels]]; ''and'',
#right heart [[blood pressure|pressure]] is higher than left heart pressure and/or the shunt has a one-way [[heart valve|valvular]] opening.
 
The most common cause of right-to-left shunt is the [[Tetralogy of Fallot]], a congenital cardiac anomaly characterized by four co-existing heart defects. The four defects include:
 
#[[Pulmonary stenosis]] (narrowing of the [[pulmonary valve]] and outflow tract, obstructing blood flow from the right ventricle to the pulmonary artery)
#[[Ventricular septal defect]]  (defect in the ventricular septum, which divides the left and right ventricles of the heart)
#[[Overriding aorta]] (aortic valve is enlarged and appears to arise from both the left and right ventricles instead of the left ventricle, as occurs in normal hearts)
#Right [[ventricular hypertrophy]] (thickening of the muscular walls of the right ventricle)
 
A right to left shunt frequently causes [[hypoxemia]].
 
== Acknowledgements ==
 
The content on this page was first contributed by: C. Michael Gibson, M.S., M.D.
 
{{Congenital malformations and deformations of circulatory system}}
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[[Category:DiseaseState]]
[[Category:Cardiology]]
[[Category:Pulmonology]]
 
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Latest revision as of 18:34, 2 August 2012