A 4-year-old girl is brought to the physician by her mother for a follow-up appointment. The following schematic reflects the oxygen tension at various cardiopulmonary locations.

Which of the following is most likely to be seen in this patient?
A) Early diastolic murmur
B) Fixed splitting of second heart sound
C) Jugular venous distention
D) Holosystolic murmur
E) Soft second heart sound

