Shunt Lesions

Cardiol Clin. 2015 Nov;33(4):513-20, vii. doi: 10.1016/j.ccl.2015.07.009. Epub 2015 Aug 22.


Intracardiac shunts are among the most common cardiac lesions seen in adult patients with congenital heart disease. Shunt lesions comprise much of the de novo congenital heart disease diagnosed in adults and engender a wide range of pathophysiologic consequences with a variety of treatment options. This article discusses the pathophysiology, clinical presentation, indications for intervention, late management issues, and pregnancy in adults with atrial septal defects, ventricular septal defects, and patent ductus arteriosus.

Keywords: Adult congenital heart disease; Intracardiac shunt; Pregnancy; Septal defects.

Publication types

  • Review

MeSH terms

  • Adult
  • Ductus Arteriosus, Patent / diagnosis*
  • Ductus Arteriosus, Patent / physiopathology
  • Ductus Arteriosus, Patent / surgery
  • Female
  • Heart Septal Defects, Atrial / diagnosis*
  • Heart Septal Defects, Atrial / physiopathology
  • Heart Septal Defects, Atrial / surgery
  • Heart Septal Defects, Ventricular / diagnosis*
  • Heart Septal Defects, Ventricular / physiopathology
  • Heart Septal Defects, Ventricular / surgery
  • Humans
  • Male
  • Pregnancy