RT Journal Article SR Electronic T1 Communication between the left ventricle and right atrium JF Thorax JO Thorax FD BMJ Publishing Group Ltd and British Thoracic Society SP 473 OP 477 DO 10.1136/thx.22.5.473 VO 22 IS 5 A1 R. S. Barclay A1 J. M. Reid A1 E. N. Coleman A1 J. G. Stevenson A1 T. M. Welsh A1 N. McSwan YR 1967 UL http://thorax.bmj.com/content/22/5/473.abstract AB A further 15 patients with left ventricular/right atrial communication are reported, 14 of whom were treated surgically. The clinical triad of a ventricular septal defect murmur, cardiac enlargement, and an arteriovenous shunt at atrial level is characteristic of the malformation. Of the 14 patients accorded surgical treatment, one died soon after operation. The remainder are well, with both the electrocardiographic signs of left ventricular hypertrophy and the radiographic evidence of cardiomegaly having undergone regression.