Doctor insights on:
Right To Left Shunt
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
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 more
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
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
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 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
Have had stroke, had toe test on heart found PFO tunnel with right left shunt permanently. And prominent ev. Should this be closed?
Not yet: I question your right to left permanent shunt. In otherwise normal hearts the pressure on the left side is higher, making right to left shunting episodic at best. The current trials do not support closure of pfos to prevent stroke. ...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 more
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 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 more
I have an Asd with left to right shunt and an atrial septal aneurysm. Do these shunts start as right to left then as get worse become left to right?
Usually starts L-->R: At birth the left side has higher pressures than the RT side. Thus flow is mainly L-->R. If the ASD is small it may close on its own but if not tends not to cause a problem. If it is large the flow L-->R increases volume load on the Right leading to increased RT pressure, this will reverse the net flow to Rt-->Lft. If large it should be closed before development of increase RT pressures. ...Read more
Yes: The purpose of a shunt is to provide flow, if blocked, it needs fixed. ...Read more
My report says we both felt the finding is not enough to explain a significant left to right shunt with normal hemodynamics on the echo. So do I have left to right sshunt? I am confused?
Not enough info: Without the entire report and knowing why the echo was ordered no one here has adequate information to answer this question. Please ask the doctor who ordered the test to explain the results and if further testing is needed. It is his or her job to answer your question. ...Read more
My whole left side is all tight like my muscles have tightened up ever since my Vp shunt was underdraining why is this what is it?
Vp shunt: I highly recommend you call your neurosurgeon who cares for your shunt. ...Read more
My daughter is 2 years and 10 months old. She has a small apical muscular vsd (3-4mm) with left to right shunt. What is the treatment?
Follow-up: Such a small vsd is unlikely to be hemodynamically significant --> probably not enough of a connection to put any significant extra strain on the heart or lungs. It may still close on its own. Continued follow-up with a cardiologist will be important, as well as good dental hygiene to prevent infection, but it is unlikely to ever need any medication, intervention or activity restrictions. ...Read more
My vp shunt has been buzzing lately when I lie down. The tube is on the left side of my head but I hear buzzing on the right. Is this normal?
Vp shunt: Good question to ask you Drs who know you the best. Probably not normal. ...Read more
About 3 years ago I had shunts placed in the groin arteries both left & right side. Lately the one on the left feels like it is scraping/shifting in p?
Surgical evaluation: Required. I suggest contacting the original surgeon for examination and evaluation. ...Read more
I have subpulmonic vsd with left to right shunt with gradient - 86mmhg. Will I need surgery? Also I have a trivial tricuspid valve regurgitation.
VSD: It appears that you have a significant congenital heart defect which needs to be corrected. However your cardiologist is the best person to advise you. ...Read more
Today I am experiencing tingling on my left side and my hand tightened up for a while and I am getting vp shunt related problems could this be related?
Yes it can: Yes, your symptoms can be related to pump issues. I recommend you call your neurosurgeon's office and speak with their nurse who will likely ask you to make an appointment to come in for an evaluation. More questions? Write me @: www. Healthtap. Com/drsaghafi ...Read more
Can a small Asd with left to right shunt be dangerous? Is shunting bad? Does it need repaired if small. Also have atrial septal aneurysm
ASD: If it is small and heart is not enlarged most physicians do not recommend closing an ASD. ...Read more
Ever since I had a operation to place my VP shunt I have had weakness on my left side if I lift my arm or leg I get tired out why's this happened?
I have a vp shunt placed in the left side of my head. Can I go to the tanning bed with this in? I like going, it helps keeps my skin clear of acne.
Can a echo or CT scan of the chest diagnose a left to right shunt or atrial septec defect? Asd? If not what are the best tests for these two?
Ice pick headaches every 10 min left side of head, left groin pain every 10 min (no swollen nodes). also have 25 y/0 vp shunt left side. Help?
Shunt may be pulling: The shunt tubing might be being pulled and causing pain at the proximal and distal sites. Its prudent to meet your surgeon to see if they can revise the shunt tubing. But if the shunt has been there for 25 years, it might be best not to tamper with it, if it is working. It really depends on the severity of symptoms, and if your surgeon thinks its coming from the tubing ...Read more
I went to the emergency room 2 nights ago they put a shunt in my left hand to give me pain meds. They gave me dilatan and valume through the i.V. When they gave me the valume it burned really bad, now my left hand and arm hurts really bad I also can see a
You may have a condition called phlebitis--where the vein gets inflamed after injecting medications. However, it might be an infection which can be quite serious. I would recommend going to the emergency room right away to have it checked. I have seen some very serious infections and treatment should not be delayed.
If there is no infection, there may be a clot in the vessel. A duplex ultrasound can look for a deep clot, but those are relatively rare. Clots in superficial vessels respond to warm compresses, anti-inflammatories, rest, elevation, and time. ...Read more
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