Roentgenogram of the Month Heart Failure and Cyanosis in a Newborn

#{176}From the Departments of Pediatrics and Diagnostic Radiology, Yale University School of Medicine and Yale-New Haven Hospital, New Haven. O*US Public Health Service Fellow, supported by Training Grant NIH (No. 5-T01-AD-00177). Reprint requests: Dr. Hellenbrarjd, 333 Cedar Street, New Haven 06510 holosystolic murmur at the left lower sternal border radiating to the left axilla and to the right sternal border. No murmur was audible over the head or the liver. The liver was enlarged 6 cm below the right costal margin. The Po2 was 35 mm Hg in room air and 55 mm Hg on 100 percent 02 An electrocardiogram showed combined ventricular and atrial enlargement and significant ST-T wave changes. The echocardiogram demonstrated two dilated ventricles, a large left atrium, and four normal cardiac valves. The chest roentgenogram is presented in