eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2019-08-12 7 11 267 270 10.12691/ajmcr-7-11-1 AJMCR20197111 article Mohammed Al-Sadawi 1 Muhammad Ihsan 2 Arismendy Nunez Garcia 2 Jason M. Lazar 2 Robert Poston 3 Murad Almasri 4 Haytham Aboushi 4 Samy I. McFarlane smcfarlane@downstate.edu 4 Department of Internal Medicine, State University of New York: Downstate Medical Center, Brooklyn, New York, United States Department of Cardiovascular Medicine, State University of New York: Downstate Medical Center, Brooklyn, New York, United States Department of Cardiovascular Surgery, State University of New York: Downstate Medical Center, Brooklyn, New York, United States Department of Pediatrics, The University of Texas Medical Branch at Galveston, Galveston, Texas, United States Aorta-right atrial tunnel is a rare entity characterized by a vascular fistula, which connects one of the sinuses of Valsalva in the ascending aorta and the right atrium. It is frequently associated with congestive heart failure. This abnormality is usually diagnosed by echocardiography or CT angiography. It requires immediate intervention due to high risk of complications as congestive heart failure. In this report, we present a case of a 33-year old female with no significant past medical history presents to the hospital with progressive shortness of breath found to have a congenital Aorta-right atrial tunnel. http://pubs.sciepub.com/ajmcr/7/11/1/ajmcr-7-11-1.pdf aorta-right atrial tunnel aorta-right atrial fistula heart failure