TY - CHAP M1 - Book, Section TI - Cyanotic Congenital Heart Disease A1 - Majeed, Amara A1 - Qureshi, Athar M. A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - A 20-day-old baby boy is brought into the emergency department by his parents who noticed that he was “blue.” On examination, he is alert and is cyanotic with an oxygen saturation of 83 percent. His cardiac exam reveals a mild right precordial heave with a harsh, long-grade 3/6 systolic ejection murmur at left upper sternal border. In the ED, he becomes more cyanotic (oxygen saturation of 60%), irritable and his murmur becomes softer. An echocardiogram was performed which identified cyanotic congenital heart disease (Tetralogy of Fallot) (Figure 43-1). He was treated medically and then underwent palliative surgery with a Blalock Taussig shunt. He was discharged in stable condition to be followed up on an outpatient basis until he could have further corrective surgery at a later date. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114871072 ER -