Congenital pulmonary stenosis
Bi-basal crepitations and wheezing
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Elevation of the cardiac apex and cardiomegaly with peripheral pruning of the pulmonary vasculature.
The infant was cyanotic at birth and cardiac ultrasound found pulmonary valve stenosis ASD, VSD, and transposition of the great vessels. A Mustard procedure was performed. The patient re-presents with evidence of pulmonary congestion.