Fall, 2014

The patient is a newborn, full term white male infant. During his initial exam, he revealed to have a regular rhythm and rate. There was a normal S1 and soft single S2. A grade 3/6 high pitched harsh systolic murmur auscultated at the ULSB with moderate radiation. There was no diastolic murmur. There wasn’t any cyanosis. An echo was performed at two days of life.

During the echo the patient appeared to have an overriding aorta with a moderately large ventricular septal defect. The report confirmed these findings along with normal cardiac function. The velocity of flow in the pulmonary artery was 4.2 m/s. The flow arised from the mid-portion of the right ventricle.

What is the diagnosis?