11 year old boy with cyanotic heart disease detected at 2 days of age
|11 year old boy with cyanotic heart disease detected at 2 days of age
11 year old boy with heart disease detected at 2 days of age with cyanosis and exertional dyspnoea noted after one year of age; no cyanotic spells
Possibilities:
- Cyanotic congenital heart disease with decreased pulmonary blood flow – Fallot like physiology
- Admixture lesions like single atrium and total anomalous pulmonary venous connection
- Anomalous systemic venous connection to left atrium
- Pulmonary arteriovenous fistula
- Ebstein’s anomaly
- Development of Eisenmenger physiology in left to right shunts – less likely to be detected on day 2
- Transposition of great arteries with good pulmonary blood flow, presenting with Eisenmenger syndrome later
- Severe pulmonary stenosis with atrial septal defect and right to left shunt