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Ann Thorac Surg 2000;69:269-271
© 2000 The Society of Thoracic Surgeons

Case Reports

Right pulmonary artery left atrium communication

Smruti R. Mohanty, MCha, Rakesh Yadav, DMa, Shyam S. Kothari, DMa, Balram Airan, MCha

a Departments of Cardiology and Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India

Address reprint requests to Dr Airan, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Ansari Nagar, 110029 New Delhi, India

A 12-year-old boy presented with central cyanosis, clubbing, and ejection systolic murmur in the left second and third intercostal space. Chest roentgenogram showed a round opacity on the right border of cardiac silhouette. Echocardiography revealed a communication between right pulmonary artery and left atrium, which was later confirmed on selective pulmonary cineangiography. Successful surgical ligation without cardiopulmonary bypass resulted in the cure of the disease.






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