Right pulmonary artery left atrium communication

A 12-year-old boy presented with central cyanosis, clubbing, and ejection s ystolic murmur in the left second and third intercostal space. Chest roentg enogram showed a round opacity on the right border of cardiac silhouette. E chocardiography revealed a communication between right pulmonary artery and left atrium, which was later confirmed on selective pulmonary cineangiogra phy. Successful surgical ligation without cardiopulmonary bypass resulted i n the cure of the disease. (C) 2000 by The Society of Thoracic Surgeons.