James Harrington

All articles by James Harrington

Left-to-right shunts

What the Anesthesiologist Should Know before the Operative Procedure Left-to-right shunt occurs almost exclusively in the setting of ventricular septal defect (VSD), most commonly in neonates and small children. VSD size (combined cross-sectional area in case of multiple VSDs) is the primary determinant of initial pathology and progression of disease in these patients. "Large" VSD…

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