An intracardiac shunt, in cardiac ultrasound, refers to an abnormal connection between the heart’s chambers or great vessels, allowing blood to bypass its normal circulatory path. This can lead to oxygenated and deoxygenated blood mixing, affecting cardiac efficiency and potentially causing conditions like pulmonary hypertension or cyanosis. Detecting and characterizing shunts is crucial for diagnosis and management in pediatric and adult cardiology.
Ultrasound, particularly echocardiography, is the primary non-invasive modality for identifying intracardiac shunts. Doppler imaging, including color and spectral Doppler, plays a vital role in visualizing and quantifying shunt flow, assessing its direction, velocity, and hemodynamic significance. Accurate ultrasound assessment guides patient care, from medical management to surgical planning, optimizing outcomes for individuals with these cardiac anomalies.