A five-day-old, full term male infant was severely cyanotic at bih. His chest X ray showed 'Egg-on -side' appearance. Prostaglandin E1 was administered initially and later balloon atrial septosomy was done which showed improvement in oxygenation. The most likely diagnosis of this infant is:
- Given features suggests towards diagnosis of TGA Transposition of the great vessels with an intact ventricular septum presents with early cyanosis, normal-sized hea, normal or slightly increased pulmonary vascular markings, and an ECG showing right-axis detion and right ventricular hyperophy - Balloon atrial septostomy: Helpful in a baby with TGA with intact ventricular septum for initial stabilization, It creates a communication between the left and right atria - helps in mixing blood of systemic and pulmonary circulations & maintain relatively better oxygenation. -TREATMENT OF TGA: PGE1 analogue - Keep ductus aeriosus open Balloon atrial septostomy / Rashkind procedure - Emergency procedure Aerial switch operation / Jatene's repair - Definitive surgery
Tetralogy Fallot
Transposition of great vessels
Truncus aeriosus
Tricuspid atresia
Other hea diseases in children