Anastomoses between pulmonary arteries and veins, which are common in adults, can lead to blood bypassing alveoli, causing hypoxaemia, especially in conditions like COVID-19 and influenza A.
A case of severe hypoxaemia linked to influenza A was poorly responsive to oxygen treatment and worsened with CPAP, indicating a significant intrapulmonary shunt contributing to the issue.
Understanding these shunts in viral infections can improve respiratory treatment strategies and help identify new therapeutic approaches to prevent the need for intubation.