3rd year/cardiovascular 2/2021
1 out of 88

A 4-year-old boy is brought by his parents with the complaint that he frequently catches a cold and gets cough. According to the parents, he had pneumonia thrice this year and had to be admitted to the hospital one time. On examination, an ejection systolic murmur is heard on the left upper sternal border with a fixed splitting of the second heart sound. The first heart sound is loud. What is the most likely diagnosis?