title: Shunt Lesions Part I: Patent Ductus Arteriosus, Atrial Septal Defect, Ventricular Septal Defect, and Atrioventricular Septal Defect.
abstract: This review summarizes the current understanding of the pathophysiology and perioperative management of patent ductus arteriosus, atrial septal defect, ventricular septal defect, and atrioventricular septal defect.
  
  
  
  MEDLINE and PubMed.
  
  
  
  The four congenital cardiac lesions that are the subject of this review, patent ductus arteriosus, atrial septal defect, ventricular septal defect, and atrioventricular septal defect, are the most commonly found defects causing a left-to-right shunt. These defects frequently warrant transcatheter or surgical intervention. Although the perioperative care is relatively straightforward for many of these patients, there are a number of management strategies and complications associated with each intervention. The treatment outcomes for all of these lesions are very good in the current era.
authors.affiliation: 1Division of Cardiovascular-Thoracic Surgery, Ann & Robert H. Lurie Children's Hospital, Chicago, IL. 2Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL. 3Division of Cardiology, Ann & Robert H. Lurie Children's Hospital, Chicago, IL. 4Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL.
authors.forename: Carl L
authors.initials: CL
authors.lastname: Backer
authors.forename: Osama
authors.initials: O
authors.lastname: Eltayeb
authors.forename: Michael C
authors.initials: MC
authors.lastname: Mongé
authors.forename: Mjaye L
authors.initials: ML
authors.lastname: Mazwi
authors.forename: John M
authors.initials: JM
authors.lastname: Costello
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D004374:Ductus Arteriosus, Patent / Q000503:physiopathology / Q000601:surgery*; D006343:Heart Septal Defects / Q000503:physiopathology / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000503:physiopathology / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D019990:Perioperative Care / Q000379:methods; D016896:Treatment Outcome