Introduction
Acquired left ventricular-right atrial (LV-RA) communication is a rare
complication after cardiac surgeries, which may be caused by valvular
surgeries associated with severely calcified aortic or mitral valves.
Sudden left-to-right shunt leads to congestive heart failure. Here, we
report here a case in which an inadequate of tricuspid annuloplasty
suture was responsible for LV-RA communication.