Trans-septal closure of a right pulmonary artery to left atrial communication.

Right pulmonary artery-left atrial communication is a rare anomaly and is characterized by significant cyanosis and normal auscultation of the heart. Interventional closure of the fistula using occluder devices and coils have been rarely reported. We report an easy method of closure of the communication through trans-septal approach using an Amplatzer duct occluder.