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

    A 6-hour-old term neonate presents with central cyanosis of the lips, tongue, and mucosa. The pediatrician performs a hyperoxia test by administering 100% inspired oxygen for 10 minutes and measures arterial blood gas. The finding marked **B** in the diagram — NO improvement with the hyperoxia test (pO2 remains <100 mmHg) — is observed. Which of the following is the MOST LIKELY diagnosis in this neonate?

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