A 2-month-old baby with central cyanosis presented with the following findings on chest X-ray & ECG. What is the most probable underlying diagnosis?
- Given ECG is showing Himalayan P waves & x-ray is showing Box shaped hea - features of Ebstein anomaly. EBSTEIN ANOMALY: - Downward displacement of posterior & septal leaflets of Tricuspid valve resulting in atrialization of right ventricle. - Huge cardiomegaly, especially of Rt atrium is seen - ECG : very tall & broad P waves seen d/t enlarged atria. These P waves look like a mountain; hence called 'Himalayan' p waves
Tetralogy of Fallot
Hypoplastic left hea syndrome
Coarctation of aoa
Ebstein anomaly
Other hea diseases in children