HY USMLE Q #902 – Cardio

An 8-year-old boy is brought to the cardiologist by his parents for a follow-up appointment. His oxygenation at different points within the heart and circulation is depicted in the schematic. Which of the following is the most likely explanation for these findings?

  Congenital rubella syndrome
  Edward syndrome
  Maternal lithium use
  Pulmonary hypertension
  Rheumatic heart disease