Trisomy 18 with ventricular septal defect
Newborn with dysmorphic features, increased work of breathing.
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The heart is enlarged and there is prominent pulmonary vasculature (pulmonary plethora)
1 case question available
The differential for a neonate with cardiomegaly and pulmonary plethora who is not cyanotic includes ventricular septal defect (VSD), atrial septal defect (ASD), AVSD and patent ductus arteriosus (PDA).
This baby with confirmed Trisomy 18 had a large VSD, which was known from antenatal imaging.