Dr. Muhammed Yasir (Pediatrics) needs a second opinion on this medical case.
8yr/m child with h/o cyanosis since infancy,came with breathlessness and cyanosis.,giddiness.
O/E: central cyanosis+,plethoric conjunctiva,clubbing+
CVS:ESM+ pulmonary area
CXR:Oligemic lung field
Provisional diagnosis:CCHD?TOF physiology (severe PS) with cyanotic spell.
Discuss the management?