Answer:
There is no short answer.
Explanation:
The effects of having a hole in the heart and it's initial effect of the oxygenated and the deoxygenated blood mixing, can cause shortness of breath, less energy during any physical activity since the amount of oxygenated blood going to the lungs is lower. This also can be heard with a stethoscope when listened.
I hope this answer helps.
Gas exchange takes place in the millions of alveoli in the lungs and the capillaries that envelop them. As shown below, inhaled oxygen moves from the alveoli to the blood in the capillaries,