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A 7-year-old boy with a history of frequent respiratory tract infections in infancy, presented with easy fatigability and exertional dyspnoea. On examination, he had mild cyanosis, clubbing, left parasternal heave and a loud pulmonary component of the second heart sound with no murmurs. An electrocardiogram showed right ventricular hypertrophy with …
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.