Right juxtaposition of atrial appendages with isolated ventricular septal defect

Juxtaposition of atrial appendages is a very rare congenital cardiac anomaly. It is not of much importance per se, but its identification preoperatively usually indicates the presence of complex cardiac or extracardiac malformations. Left juxtaposition of atrial appendages is more common than right juxtaposition. Juxtaposition of atrial appendages is mostly associated with cyanotic congenital heart diseases and very rarely with acyanotic cardiac anomalies. We here present a case of right juxtaposition of atrial appendages in an infant associated with isolated ventricular septal defect.