Fig. 1

(A) Patient’s Chest X-ray showed double shadow (Red arrows), cardiomegaly (Blue arrows), and decreased pulmonary vascular marking (Yellow arrows), (B) echocardiogram showed the fistular between RPA and LA (purple arrow), (C) CT angiography of the chest shows dilated RPA (orange arrow) and the attachment of all (four) pulmonary veins to the left atrium (white arrow) (Tract entrance), (D) Release of the device in endovascular closure of the right pulmonary artery (yellow arrow) to the left atrium (green arrow) shunt and the closure of the shunt