Hypoplastic Left Heart Syndrome with Ventricular Septal Defect and Patent Arterial Duct

Nine days old male was admitted to the intensive care unit because of the jaundice and suspicious cardiac disease. He was delivered at 3gf5 weeks of gestation without peripartum events. His birth weight was 3.4kg. He was the second baby with healthy brother. The family history was not contributory. He was initially transferred to the other hospital because of the jaundice at 2 days of age. Cardiac murmur was detected at that hospital. He was asymptomatic besides mild dyspnea. He was able to suck the milk of 70ml per feeding. He was referred to another hospital because the echocardiographic examination showed a smal! left ventricular size. Physical examination at the emergency room revealed a mildly lethargic baby with dyspnea. Body weight was 3.28 kg and height 52cm. His body temperalure was 36.2Y2, heart rate 1501 min, respiration rate 761min. The blood pressure on the right arm was 58/33mmHg, left arm 641 37mmHg, right leg 64136mmHg and left leg 58/36 mmHg. He was slightly anemic and icteric.