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</html><thumbnail_url/><thumbnail_width/><thumbnail_height/><description>Communications between the two circulatory systems (pulmonary and systemic) are located in the septa separating the atria (atrial septal defects) or the ventricles (ventricular septal defects), or involve communication between the great vessels (aortopulmonary communication). The result is blood shunting from the high-pressure system (systemic circulation) to the low-pressure system (pulmonary circulation). The shunt is left-to-right, while in very large defects it may become bidirectional.</description></oembed>
