Abstract
A three-month-old girl (weight: 4.3 kg; height: 55 cm) with trisomy-21 was taken to the operating room for repair of an atrioventricular canal defect. The transthoracic echocardiogram reported situs solitus; atrioventricular and ventriculoarterial concordant connections; normal systemic and pulmonary venous drainage; a 3.9-mm primum defect with a left-to-right shunt; a large size (26 mm) inlet ventricular septal defect with left-to-right shunt; a large patent ductus arteriosus with a bidirectional shunt; and good biventricular function with a normal-sized coronary sinus.
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