was uniformly low (25-40 mmHg), with little arteriovenous difference. Right-to-left shunting was minimal (8%), whereas a strong intraventricular left-to-right shunt (47%) maintained threefold greater pulmonary than systemic flow. Although its significance remains to be elucidated, these approaches provide a foundation for advancing shunt research.
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Hashimoto et al. (2026) studied this question.
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