Presentation
Cyanosis.
Patient Data
Age: 2 years
Gender: Female
From the case:
Tetralogy of Fallot
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decreased pulmonary vascularity (pulmonary oligemia)
mildly enlarged cardiac silhouette
upturned cardiac apex with a concave main pulmonary arterial segment (boot shaped heart)
Case Discussion
In a cyanotic child, these findings are typical of tetralogy of Fallot with right-sided aortic arch.