RT Book, Section
A1 Deutsch, Nina
A2 Freeman, Brian S.
A2 Berger, Jeffrey S.
SR Print(0)
ID 1135742340
T1 Acyanotic Congenital Heart Disease
T2 Anesthesiology Core Review: Part Two Advanced Exam
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9781259641770
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1135742340
RD 2024/04/19
AB Congenital  heart  disease  (CHD)  consists  of  both  shunting  and/or  obstructive  lesions.  In  the  presence  of  these  defects,  blood  flow  follows  the  path  of  least  resistance.  The  amount  of  shunting  between  two  circulatory  beds  is  dependent  on  the  relative  gradient  between  these  two  systems  as  well  as  the  size  of  the  shunt.  When  there  is  an  unrestrictive  shunt,  the  amount  and  direction  of  blood  flow  are  dependent  solely  on  the  difference  in  vascular  resistances  between  the  two  sides.  Any  restriction  (e.g.,  stenosis)  typically  serves  as  the  point  of  maximal  resistance,  which  limits  the  relative  blood  flow  between  two  areas.