Unrepaired Congenital Shunt Lesions in Adults: Principles for Clinical Management

Diana Mariela Mouratian; Judith Beatriz Ackerman; Laura Mariana Riznyk; Carla Pasinato; Florencia Giacomozzi; Amalia Elizari

doi:10.14797/mdcvj.1801

Unrepaired Congenital Shunt Lesions in Adults: Principles for Clinical Management

Methodist DeBakey Cardiovascular Journal

Volume 22 (2026): Issue 3

By: Diana Mariela Mouratian , Judith Beatriz Ackerman , Laura Mariana Riznyk , Carla Pasinato , Florencia Giacomozzi and Amalia Elizari

Open Access

|Jun 2026

Abstract

This review article summarizes the pathophysiology, clinical presentation, diagnostic approach, and management principles of unrepaired congenital shunt lesions in adulthood, with emphasis on individualized decision-making and indications and contraindications for defect closure.

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Articles in this issue

DOI: https://doi.org/10.14797/mdcvj.1801 | Journal eISSN: 1947-6108

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Language: English

Page range: 40 - 53

Submitted on: Feb 11, 2026

Accepted on: Apr 1, 2026

Published on: Jun 30, 2026

Published by: Houston Methodist DeBakey Heart & Vascular Center

In partnership with: Paradigm Publishing Services

Keywords:

adult congenital heart disease,

shunt lesions,

pulmonary hypertension,

follow-up and treatment

© 2026 Diana Mariela Mouratian, Judith Beatriz Ackerman, Laura Mariana Riznyk, Carla Pasinato, Florencia Giacomozzi, Amalia Elizari, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.

Volume 22 (2026): Issue 3