Significant left to right shunting can occur resulting in a high left ventricular cardiac output. Forward systemic flow can be reduced if the shunt is large resulting in symptoms of congestive ...

This results in a net right to left cardiac shunt. Depending on the severity of right ventricular outflow tract obstruction, symptoms may be present at birth or delayed into early childhood.

Varanasi: An 18-year-old boy with a complex congenital cardiac abnormality was operated on successfully in the ...