Image of the week - 10 December 2025

This patient is a 79-year-old man with pulmonary hypertension. What defect is shown?
 
 
 
Persistent left superior vena cava emptying into the coronary sinus
Secundum atrial septal defect
Sinus venosus atrial septal defect with partial anomalous drainage of the right upper pulmonary vein
Partial anomalous drainage of the right upper pulmonary vein
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