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Therefore, a large left-to-right shunt through a patent ductus arteriosus (PDA) results in left atrial and left ventricular enlargement. The pulmonary veins and the ascending aorta can also be dilated with a sufficiently large patent ductus arteriosus (PDA).
This is called a V-A shunt (Ventricular-Atrial shunt). There are pictures of the two types of shunts in the pictures above. The shunt has a valve, which controls the amount of fluid that flows from the brain to the abdomen or heart. The most common complications of a ventricular shunt are infection and malfunction. Malfunction can be caused by blockage in the shunt, the shunt breaking or because a valve in the shunt is not working.