Which one of the following is least associated with Tetralogy of Fallot.. Left-to-right shunt

Which one of the following is least associated with Tetralogy of Fallot?
A.A Right ventricular outflow tract obstruction
B.A Overriding aorta
C.A Ejection systolic murmur
D.A Left-to-right shunt***
E.A Right ventricular hypertrophy.
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