Question
a.
A hole from a septum secundum or septum primum defect in the interatrial septum produces a modest left-to-right shunt.
b.
The aorta arises from the right ventricle and the pulmonic trunk from the left ventricle. A VSD, or ASD with PDA, is needed for extrauterine survival. There is right-to-left shunting.
c.
There is a hole within the membranous or muscular portions of the intraventricular septum that produces a left-to-right shunt, more severe with larger defects.
d.
The ductus arteriosus, which normally closes soon after birth, remains open, and a left-to-right shunt develops.
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