PULMONARY PHYSIOLOGY-RIGHT TO LEFT SHUNT
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SUMMARY
The blood crosses from the right to the left side of the heart without being oxygenated.
1. Anatomic shunts: blood bypasses the alveoli, e.g., intracardiac shunts (ASD, VSD, PDA), pulmonary arteriovenous malformations, fistulas, and hepato-pulmonary syndrome.
2. Physiologic shunting: blood passes through non-ventilated alveoli, for example, pneumonia, atelectasis, and ARDS.
Reference(s)
Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].