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PRE /Post ductal saturation difference in PPHN

DTA
in Respiratory Disorders

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Is there always a pre/post ductal saturation difference in PPHN....what if there is no interatrial  communication or pda has closed...in intra pulmonary shunting would you still see a sats difference 

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    https://99nicu.org/forums/topic/2399-pre-post-ductal-saturation-difference-in-pphn/
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