Congenital Heart Disease, Set 1

For each of the following situations, select the most likely underlying condition:

1. An infant is noted to be cyanotic from birth. In order to survive with this anomaly, the infant must also have either a ventricular septal defect, atrial septal defect, or a patent ductus arteriosus:

2. Right ventricular outflow tract obstruction is present on ultrasound of a fetus in utero. After birth, the baby is noted to be cyanotic:

3. A baby appears normal at birth. Later, in adult life at age 55, ongoing calcification occurs which results in congestive heart failure with pulmonary edema:

4. An anomaly was present at birth, with a shrill systolic murmur; however, the anomaly and the murmur were not detectable at age 20:

5. An 18-year-old man has strong palpable pulses in his upper extremities, but weak lower extremity pulses, and his upper body appears better developed than his lower body. Rib notching is noted on a chest radiograph:

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