Rejected at 1:37 a.m. Nov, 01, 2023 ] by Tahseen
Author: Fikthenig
Related Note: 1518313163667 1
Rationale for change

Contrary to what FA says, TAPVR IS NOT a right-to-left shunt. Oxygenated blood from the lungs(now left side) is returning back to the right atrium(right side). This means blood never enters the left heart. This can't be a right-to-left shunt. Additionally, the creation of a large foramen ovale to allow flow to the right side of the heart will prevent further cyanosis.

Rejection reason

It is a right-left shunt as for someone to survive you need a PFO or ASD which is why this says R-L shunt. Source: https://radiopaedia.org/articles/total-anomalous-pulmonary-venous-return?lang=us#:~:text=In%20TAPVR%2C%20all%20systemic%20and,atrial%20septal%20defect%20(ASD). I think you have a misunderstanding of blood flow in this context

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#AK_Other::^EXPN::BGnonessentials #AK_Step1_v12::#FirstAid::07_Cardiovascular::04_Pathology::01_Congenital_heart_diseases::01_Right-to-left_Shunts::*Basics #AK_Step1_v12::#Physeo::01_Embryology::02_Cardio::03_Right_to_Left_Shunts #PANCE::CARDIO::congenital_heart_disease #AK_Step1_v12::#Low/HighYield::2-RelativelyHighYield #AK_Step2_v12::#Bootcamp::Pediatrics::06_Cardiology_Pulmonary_and_Otolaryngology::01_Congenital_Heart_Disease #AK_Other::#AK_Original_Decks::Step_1::Zanki_Step_Decks::Zanki_Cardiovascular::Cardio_Pathology #PANCE::EOR::PEDS #AK_Step2_v12::#Bootcamp::Pediatrics::06_Cardiology_Pulmonary_and_Otolaryngology::01_Congenital_Heart_Disease::02_Cyanotic_Congential_Heart_Disease #AK_Step1_v12::#Bootcamp::Cardiology::22_Cyanotic_Congenital_Heart_Defects::01_Cyanotic_Congenital_Heart_Defects_-_Overview #AK_Step2_v12::#SketchyPeds::04_Cardiology::01_Congenital_Heart_Disease::05_Tetralogy_of_Fallot #AK_Step1_v12::#OME_banner::Basic_Science::09_Cardiac::21_Cyanotic_Congenital_Heart_Disease #AK_Step2_v12::#OME::06_Surgery::03_Surgical_Subspecialties::06_CT_Surgery #AK_Other::AnKing_Image::!Subjects::Cardiology::Tetralogy_of_Fallot #AK_Step2_v12::#FirstAid::12_Pediatrics::04_Congenital_Heart_Disease::01_Congenital_Heart_Disease #AK_Step2_v12::#SketchyPeds::04_Cardiology::01_Congenital_Heart_Disease::01_Cyanotic_Congenital_Heart_Disease_DDx #AK_Step1_v12::#SketchyPath::01_Cardiac::05_Congenital_Heart_Disease::02_Right-to-Left_Shunts #AK_Step2_v12::#SketchyPeds::04_Cardiology::01_Congenital_Heart_Disease::04_Tricuspid_Atresia #AK_Step2_v12::#SketchyPeds::04_Cardiology::01_Congenital_Heart_Disease::02_Truncus_Arteriosus #AK_Other::Card_Features::^One_By_One #AK_Other::Only_Step_1&2_Overlap #AK_Step1_v12::#FirstAid::07_Cardiovascular::04_Pathology::01_Congenital_heart_diseases #AK_Step2_v12::#SketchyPeds::04_Cardiology::01_Congenital_Heart_Disease::06_Total_Anomalous_Pulmonary_Vein_Return_(TAPVR) #AK_Other::AnKing_Image::AhmedA::Tetralogy_of_Fallot #AK_Other::^EXPN::BGadd #AK_Step1_v12::^Systems::Cardio::BGadds