{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:04:50Z","timestamp":1777619090611,"version":"3.51.4"},"reference-count":10,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>Atrial septal defects and ventricular septal defects are often encountered in patients presenting for treatment under anesthesia. The flow mechanisms for both defects are predominantly left to right shunting prior to long-term maladaptive changes that may occur. Close examination of the shunt dynamics demonstrates a minor right to left shunt that occurs as well. The article discusses these dynamics and the impact on an anesthetic plan.<\/jats:p>","DOI":"10.2344\/0003-3006-62.3.125","type":"journal-article","created":{"date-parts":[[2015,9,23]],"date-time":"2015-09-23T21:56:40Z","timestamp":1443045400000},"page":"125-130","source":"Crossref","is-referenced-by-count":16,"title":["ASD and VSD Flow Dynamics and Anesthetic Management"],"prefix":"10.2344","volume":"62","author":[{"given":"Philip","family":"Yen","sequence":"first","affiliation":[{"name":"Dentist Anesthesiologist, CarePoint Anesthesia Group, LLC, Highlands Ranch, Colorado, and Assistant Professor, University of Colorado School of Dental Medicine, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","reference":[{"key":"i0003-3006-62-3-125-b01","series-title":"J Am Coll Cardiol","first-page":"1890","article-title":"The incidence of congenital heart disease","volume":"39","author":"Hoffman\n              JL,","year":"2002","unstructured":"Hoffman\n              JL, \n            \n              Kaplan\n              S.\n            \n          \n          The incidence of congenital heart disease. J Am Coll Cardiol. 2002;39:1890\u20131900."},{"key":"i0003-3006-62-3-125-b02","series-title":"Indian J Anaesth","first-page":"439","article-title":"Anesthesia related neurologic complications","volume":"48","author":"Sandhu\n              K,","year":"2004","unstructured":"Sandhu\n              K, \n            \n              Dash\n              HH.\n            \n          \n          Anesthesia related neurologic complications. Indian J Anaesth. 2004;48:439\u2013445."},{"key":"i0003-3006-62-3-125-b03","series-title":"J Am Coll Cardiol","first-page":"797","article-title":"Patent foramen ovale and the risk of ischemic stroke in a multiethnic population","volume":"49","author":"Di Tullio\n              MR,","year":"2007","unstructured":"Di Tullio\n              MR, \n            \n              Sacco\n              RL, \n            \n              Sciacca\n              RR, \n            \n              Jin\n              Z, \n            \n              Homma\n              S.\n            \n          \n          Patent foramen ovale and the risk of ischemic stroke in a multiethnic population. J Am Coll Cardiol. 2007;49:797\u2013802."},{"key":"i0003-3006-62-3-125-b04","series-title":"Lancet","first-page":"11","article-title":"Patent foramen ovale in young stroke patients","volume":"2","author":"Webster\n              MW,","year":"1988","unstructured":"Webster\n              MW, \n            \n              Chancellor\n              AM, \n            \n              Smith\n              HJ, \n            \n              Swift\n              DL, \n            \n              Sharpe\n              DN, \n            \n              Bass\n              NM, \n            \n              Glascow\n              GL\n            \n          . Patent foramen ovale in young stroke patients. Lancet. 1988;2:11\u201312."},{"key":"i0003-3006-62-3-125-b05","series-title":"Anesthesiology","first-page":"374","article-title":"Pulmonary and systemic hemodynamic effects of nitrous oxide in infants with normal and elevated pulmonary vascular resistance","volume":"65","author":"Hickey\n              PR,","year":"1986","unstructured":"Hickey\n              PR, \n            \n              Hansen\n              DD, \n            \n              Strafford\n              M, \n            et al\n          . Pulmonary and systemic hemodynamic effects of nitrous oxide in infants with normal and elevated pulmonary vascular resistance. Anesthesiology. 1986;65:374\u2013378."},{"key":"i0003-3006-62-3-125-b06","series-title":"Circulation","first-page":"1736","article-title":"Prevention of infective endocarditis: Guidelines from the American Heart Association: A guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group","volume":"116","author":"Wilson\n              W,","year":"2007","unstructured":"Wilson\n              W, \n            \n              Taubert\n              KA, \n            \n              Gewitz\n              M, \n            et al\n          . Prevention of infective endocarditis: Guidelines from the American Heart Association: A guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2007;116:1736\u20131754."},{"key":"i0003-3006-62-3-125-b07","series-title":"Circulation","first-page":"2190","article-title":"Congenital heart defects for the adult cardiologist","volume":"114","author":"Minnete\n              M,","year":"2006","unstructured":"Minnete\n              M, \n            \n              Sahn\n              DJ\n            \n          . Congenital heart defects for the adult cardiologist. Circulation. 2006;114:2190\u20132197."},{"key":"i0003-3006-62-3-125-b08","series-title":"J Am Coll Cardiol","first-page":"1437","article-title":"Intracardiac shunting in children with ventricular septal defect: evaluation with Doppler color flow mapping","volume":"16","author":"Sommer\n              R,","year":"1990","unstructured":"Sommer\n              R, \n            \n              Golinko\n              RJ, \n            \n              Ritter\n              SB\n            \n          . Intracardiac shunting in children with ventricular septal defect: evaluation with Doppler color flow mapping. J Am Coll Cardiol. 1990;16:1437\u20131444."},{"key":"i0003-3006-62-3-125-b09","series-title":"Circulation","first-page":"1090","article-title":"Pathophysiology of congenital heart disease in the adult part 1: shunt lesions","volume":"117","author":"Sommer\n              R,","year":"2008","unstructured":"Sommer\n              R, \n            \n              Hijazi\n              ZM, \n            \n              Rhodes\n              JF\n            \n          . Pathophysiology of congenital heart disease in the adult part 1: shunt lesions. Circulation. 2008;117:1090\u20131099."},{"key":"i0003-3006-62-3-125-b10","series-title":"J Am Coll Cardiol","first-page":"1189","article-title":"Transcatheter closure of perimembranous ventricular septal defects: early and long-term results","volume":"50","author":"Butera\n              G,","year":"2007","unstructured":"Butera\n              G, \n            \n              Carminati\n              M, \n            \n              Chessa\n              M, \n            et al\n          . Transcatheter closure of perimembranous ventricular septal defects: early and long-term results. J Am Coll Cardiol. 2007;50:1189\u20131195."}],"container-title":["Anesthesia Progress"],"original-title":[],"link":[{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/62\/3\/article-p125.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/62\/3\/125\/2101995\/0003-3006-62_3_125.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/62\/3\/article-p125.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/62\/3\/article-p125.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:34:11Z","timestamp":1728304451000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/62\/3\/article-p125.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":10,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.2344\/0003-3006-62.3.125","relation":{},"ISSN":["0003-3006","1878-7177"],"issn-type":[{"value":"0003-3006","type":"print"},{"value":"1878-7177","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}