Atrial septal defect with pulmonary hypertension
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X-ray chest PA view in atrial septal defect with severe pulmonary hypertension. Prominent main pulmonary artery, right pulmonary artery and left pulmonary artery (behind the main pulmonary artery) and end on views of dilated branch pulmonary arteries are seen. Echocardiography documented large secundum atrial septal defect (ASD) with severe pulmonary hypertension and bidirectional shunt across the ASD.