A 2-day-old male infant is transferred to the NICU for evaluation of cyanosis and a systolic heart murmur. Birth history is notable for maternal diabetes and the infant has characteristic facial features including micrognathia, short philtrum, and hypertelorism. Vital signs show oxygen saturation of 78% on room air. Physical examination reveals a single loud S2. Chest X-ray demonstrates boot-shaped heart with decreased pulmonary vascular markings. Echocardiography shows a large VSD with rightward deviation of the ventricular septal defect, right ventricular outflow tract obstruction secondary to infundibular stenosis, and a normal aorta that overrides the VSD. Which of the following is the most likely diagnosis?

  1. A)Double outlet right ventricle
  2. B)Truncus arteriosus
  3. C)Tetralogy of FallotGABARITO
  4. D)Transposition of the great arteries with VSD
  5. E)Pulmonary atresia with intact ventricular septum

Explicação

This infant presents with classic features of Tetralogy of Fallot (TOF): (1) VSD with rightward deviation, (2) right ventricular outflow tract (RVOT) obstruction from infundibular stenosis, (3) aortic override of the VSD, and (4) right ventricular hypertrophy ... Ver explicação completa e trilha adaptativa →

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