Atrial septal defect shunt


Atrial septal defect shunt degree of left-to-right atrial shunting depends on mostly


[A] Ejection fraction of RV
[B] Size of pulmonary artery
[C] Cardiac cycle
[D] Diastolic filling properties of the two ventricles



Atrial septal defect shunt


  • Atrial-level shunt- degree of left-to-right atrial shunting depends on the
    • Size of the defect
    • Relative diastolic filling properties of the two ventricles

Conditions increase the left-to-right shunt in ASD


  • Reduced left ventricular compliance
    • Systemic hypertension
    • Cardiomyopathy
    • Myocardial infarction
  • Increased left atrial pressure
    • Mitral stenosis
    • Mitral regurgitation

Conditions decrease the left-to-right shunt in ASD


  • Reduced RV compliance
  • Pulmonary hypertension
  • Increased Right atrial pressure
    • Tricuspid stenosis
    • Tricuspid regurgitation