A 3-day-old male infant presents with cyanosis and severe respiratory distress. Vital signs show HR 165 bpm, RR 58/min, BP 58/40 mmHg, SpO2 78% on room air, and temperature 36.8°C. Physical examination reveals a single S2 and systolic ejection murmur. Chest X-ray demonstrates an "egg-on-string" appearance with decreased pulmonary vascular markings. Arterial blood gas shows PaO2 42 mmHg. The infant has not received prostaglandin E1. Which of the following is the most likely diagnosis?

  1. A)Hypoplastic left heart syndrome
  2. B)Total anomalous pulmonary venous return
  3. C)Tetralogy of Fallot
  4. D)Transposition of the great arteriesGABARITO
  5. E)Truncus arteriosus

Explicação

Transposition of the great arteries (TGA) classically presents with cyanosis within the first days of life, egg-on-string chest X-ray appearance, single S2, and requires a patent foramen ovale or PDA for survival. Prostaglandin E1 is used to keep the ductus ar... Ver explicação completa e trilha adaptativa →

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