Persistent fifth arch with Coarctation and TOF.
SG Yang, et al. Pediatr Cardiol 2003;24:179-81.
Also see, on this subject:
17 day old baby, born at home
Admitted via ER for cyanosis and respiratory distress.
Following is the monitor image:
"Reverse" Differential cyanosis is noted
Preductal saturation 87%
Postductal saturation 96%
What is the differential diagnosis?