Snapshot A 7-day-old infant is brought to the pediatrician’s office for poor feeding. She was born to a first time mother without any complications. The mom reports that her infant seems to tire easily when feeding to the point that she is worried about her food intake. On physical exam, the infant has lost more weight than expected. Cardiac exam reveals a grade II/VI continuous machine-like murmur in the left infraclavicular area with a widened pulse pressure. She is sent to receive an echocardiogram for further evaluation. Introduction Clinical definition login to view 1 more bullet Etiology Pathogenesis login to view 5 more bullets Associated conditions login to view 5 more bullets Epidemiology Demographics login to view 2 more bullets Risk factors login to view 3 more bullets Presentation Symptoms login to view 5 more bullets Physical exam login to view 10 more bullets Imaging Radiography login to view 8 more bullets Echocardiography login to view 6 more bullets Studies Labs login to view 1 more bullet Electrocardiography login to view 4 more bullets Differential Ventricular septal defect login to view 2 more bullets Diagnosis Making the diagnosis login to view 1 more bullet Treatment Management approach login to view 2 more bullets Medical login to view 9 more bullets Operative login to view 6 more bullets Complications Heart failure Eisenmenger syndrome Infective endocarditis Prognosis Typically progresses over time