Case 10-1976: A 35-Year-Old Man with Cyanotic Congenital Heart Disease

Presentation of Case First admission. A 35-year-old man was admitted to the hospital because of cyanotic congenital heart disease. He was born of an uncomplicated pregnancy; no abnormality was detected at birth. His growth and development were considered normal until the age of two years, when pneumonia developed, and a murmur and cyanosis were first noted; he recovered but remained cyanotic. He participated in sports, performed heavy farm chores and played varsity baseball in college. He was free of symptoms until two years before entry, when he was admitted to another hospital because of fever and chills and an.