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    Subjects/Pediatrics/Congenital Heart Disease — Cyanotic
    Congenital Heart Disease — Cyanotic
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    smile Pediatrics

    A 3-day-old male neonate born to non-consanguineous parents presents with severe cyanosis and respiratory distress. On examination, he is deeply cyanotic with a single loud S2. Chest X-ray shows an 'egg-on-string' appearance with decreased pulmonary vascular markings. Echocardiography confirms complete transposition of the great arteries (TGA) with an intact ventricular septum. What is the immediate management priority in this neonate?

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