RT Book, Section
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
SR Print(0)
ID 1114871072
T1 Cyanotic Congenital Heart Disease
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114871072
RD 2024/04/18
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.