Cyanosis with normal precordium: A rare case report of pulmonary artery to left atrial fistula

Abstract

A rare case of large 22 mm Pulmonary artery to Left atrial (PA-LA) fistula is described. Diagnosis on transthoracic echocardiography is highlighted. It is first report to depict common occurrence of PA-LA fistula with pulmonary vein varix. Managed successfully with transcatheter approach using Atrial Septal Defect closure device.