Abstract
A 6 months-old male, referred to the emergency of a quaternary hospital, for a suspicion of Tetralogy of Fallot because of an excessive head sweating and central cyanosis when intense crying presented since birth. In the neonatal unit, the pulse oximetry test was normal, being discharged in his third day of life. Echocardiogram showed a truncus arteriosus with an atypical anatomy which restricted the pulmonary flow and delayed the clinical signs. It is frequently associated to DiGeorge syndrome and the patient in question showed phenotypical signs that could have led to an earlier diagnosis when reminded this association. Patient was submitted to surgery 15 days after the admission.
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