IMAGING ADULTS WITH CONGENITAL HEART DISEASE: Edited by Sherif NaguehImaging of left-to-right shunt in adultsSasaki, Nao; Lopez, LeoAuthor Information The Heart Program, Nicklaus Children's Hospital, Miami, Florida, USA Correspondence to Nao Sasaki, MD, The Heart Program, Nicklaus Children's Hospital, 3100 SW 62nd Avenue, Miami, FL 33155, USA. Tel: +1 786 624 3694; fax: +1 305 662 8304; e-mail: [email protected] Current Opinion in Cardiology: September 2017 - Volume 32 - Issue 5 - p 475-481 doi: 10.1097/HCO.0000000000000423 Buy Metrics Abstract Purpose of review Left-to-right shunts are commonly seen in congenital heart diseases. This review aims to review the anatomy, physiology, and imaging of the four most common left-to-right lesions in adults. Recent findings Reported late complications of left-to-right lesions provide guidance in follow-up imaging. Use of three-dimensional echocardiography helps not only in the diagnosis of these defects but also in assistance during device closure. Summary Noninvasive imaging plays a significant role in the diagnosis and management of left-to-right lesions. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.