Doctor insights on:
Causes Of Right To Left Shunt
ASD: Usually with an atrial septal defect the blood flow or shunt goes from left to right, however, in some situations when there is pulmonary hypertension the shunting goes from right to left. The problem with that is it causes some of the blood to bypass the lungs and not get the oxygen needed to bring to the tissues. ...Read more
Diagnosis: right to left shunt now what? I've been experiencing headaches and memory loss, my np referred me to a neurologist. Results from testing were sent to np. I just left her office with a follow up to see neurologist again but the diagnosis is rig
The : The heart has two "sides": the right side pumps blood to the lungs for oxygenation and the left side pumps it to the body. A right to left shunt is one that sends blood directly from the right side to the left, bypassing the lungs. This is important fro two reasons: 1) the shunted blood does not have the opportunity to drop off carbon dioxide and pick up oxygen. If the shunt is large, it will reduce the amount of oxygen in your blood and leave you easily winded. 2) the lung, in addition to increasing the oxygen level in the blood, filters out any tiny clots or other particles in the blood. When that filter is missing, there's an increased risk of strokes. Since you have a right to left shunt, you should probably be on a blood thinner, and you should make sure that any IV lines you have placed are freed of all bubbles (the common idea that a few bubbles in a vein will cause damage is not true--unless you have a right to left shunt. Treatment depends on the size of the shunt and its location. If it's very small, you may need nothing. However, if it's big enough to create problems (and it sounds like yours is) then it probably needs to be closed. If it's in the heart, this is done by a cardiologist using a percutaneous closure device or by a cardiac surgeon using traditional open-heart surgery. If it is in the arteries of the lung, it is treated by an interventional radiologist using small artery-blocking coils placed via a puncture in the hip area or the neck. I don't know the joliet area well enough to know who's close by, but you can go to http://doctor-finder.Sirweb.Org/ to find an interventional radiologist in your area. One other thing: shunts in the lung arteries are associated with a condition called osler-weber-rendu syndrome (also know as hereditary hemorrhagic telangietasia). You should be evaluated for this condition and, if you have it, your relatives should be evaluated too. It has a strong family inheritance pattern. ...Read more
A hole in the heart: It is literally a hole in the heart. Normally the right side of the heart pumps blood to the lungs to get the oxygen where as the left side of the heart pumps blood to the body. A right to left shunt can cause some of the blood to bypass the lungs and not carry as much oxygen as it should. ...Read more
Not clear : The right to left shunt or left to right shunt is usually a congenital defect. The reasons for the defect can be varied but the left to right shunt is better to have but neither is good. The right to left shunt sends unoxygenated blood out to the body. Need to see a cardiologist with possibility of needing surgery. ...Read moreSee 1 more doctor answer
It depends: Typically a patent foramen ovale with intra-atrial septal aneurysm is closed if a patient has had a blood clot transit through the defect. This typically manifests as a stroke or other embolic event. If you have not had any embolic events treatment with Aspirin is all that is necessary. If you have had an event you should be on a blood thinner or consider having the defect closed. Good luck. ...Read moreSee 2 more doctor answers
Can atrial septal defects shunt left to right stay the same instead of reversing to right to left?
Depends on pressure: An atrial septal defect (ASD) is an abnormal opening in the wall between the two upper chambers of the heart. Blood flow across will depend on right-left pressure differences: high-to-low. After birth, left is higher than right. But in instances of lung disease or other causes of increased right sided heart pressures (pregnancy, scuba diving), normal left-right blood flow can reverse. ...Read moreSee 1 more doctor answer
Why does intracardiac right to left shunting occur? Since the left side of heart has higher pressure, how can blood from right side flow through?
Shunt: Good observation....We see right to left shunting when the right sided pressure is higher than the left side and a connection is present between the circulations. This is when pulmonary hypertension is present. There are various causes of pulmonary hypertension including late changes in the lung from left to right shunting. ...Read more
Abnormal shunt left to right atrium suggestive small atrial septal defect can this make the shunt also go right to left if so is it dangerous?
If RA>LA pressure: Shunt flow will direct from the higher pressure chamber to the lower pressure one. This usually results in left to right shunting across an asd. Over time, as flow into RA is increased, a corresponding increase in pulmonary blood flow will lead to pulmonary hypertension. The subsequent rise in right sided pressures will lead to reverse shunting (r to l) with cyanosis (eisenmenger). ...Read moreSee 2 more doctor answers