Direct communication of the right pulmonary artery with the left atrium in an infant.
An 8-month-old Japanese girl with cyanosis and evidence of a round shadow connected with the right cardiac border on the chest X-ray film was diagnosed as a case of direct communication of the right pulmonary artery with the left atrium (RPA-LA communication) following cardiac catheterization and angiocardiography. She had a history of transient congestive heart failure in the early neonatal period. A secundum atrial septal defect and a two-lobed right lung were also present. The patient became asymptomatic after a successful ligation of the anomalous connecting vessel.
D000293:Adolescent; D000328:Adult; D000790:Angiocardiography; D006328:Cardiac Catheterization; D002648:Child; D002675:Child, Preschool; D003490:Cyanosis / Q000150:complications; D005260:Female; D006325:Heart Atria / Q000002:abnormalities*; D006333:Heart Failure / Q000150:complications; D006344:Heart Septal Defects, Atrial / Q000150:complications*; D006801:Humans; D007223:Infant; D008168:Lung / Q000002:abnormalities*; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery