Patient: 3 days old found purple skin hospital ultrasound Atrial orthopnea: double atria, enlarged right ventricle, widened internal diameter of pulmonary artery and its left and right branches. The atrial connection was normal, the relationship between the pulmonary artery and the aorta was left posterior right anterior position, the atrial ventricular and macrovascular relationships were, left atrium – left ventricle – pulmonary artery, right atrium – right ventricle – aorta, a tubular structure was found between the beginning of the left pulmonary artery and the descending aorta, the inner diameter was 3MM: the lower part of the interventricular septum echogenically interrupted continuously about 6MM: the septal continuation was complete. The septum and the posterior wall thickness of the left ventricle were normal in terms of myocardial amplitude. The pulmonary valve leaflets were thickened, echogenically enhanced, with restricted opening and no significant abnormalities in closure: the remaining valve morphology, structure and opening and closing were not abnormal. CDFI: accelerated pulmonary valve antegrade flow, VMAX=2.4M/S, PG=24MMHG, continuous left-to-right shunt detected in the main pulmonary vein, left-to-right shunt detected at the atrial level, no shunt detected at the ventricular level. Arterial catheterization (tubular type) with continuous left-to-right drainage at the level of the great vessels. Atrial septal defect (central type), left-to-right shunt at atrial level, pulmonary stenosis. Please ask the doctor if this disease is immediately operated ~ what is the success rate of surgery ~ how much does it cost ~ can the child be the same as a normal person after successful surgery? Thoracic cardiovascular surgery specialist: Hello. One key factor in your child’s condition is the condition of the pulmonary stenosis. If the stenosis is very mild or absent, the child should be scrambled for surgery; if the stenosis is severe, the function of the anatomical left ventricle is protected to a certain extent, and there is still a little more wiggle room in surgery time. But on the other hand, the pulmonary artery is now the aorta after surgery. If this malformation is so severe that it cannot be repaired by surgery, the child will not survive for a long time after the arterial reversal surgery, and another surgical option should probably be considered, such as Nikaidoh surgery. In summary, my suggestion is to bring the child to the hospital as soon as possible and we do an ultrasound evaluation of the pulmonary artery and anatomical left ventricle to determine the options as soon as possible! Also, angiography is not very helpful for the child at this time.