Direct communication of a pulmonary artery with the left atrium. First reported case of all four pulmonary veins entering the communication.
D000790:Angiocardiography; D002648:Child; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006322:Heart Aneurysm / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D011667:Pulmonary Veins / Q000002:abnormalities*