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Congenital cardiac disease with cyanosis implies that cyanosis is a major feature at presentation.
They are disorders where the shunt is right to left. These conditions are uncommon, especially in adults, since there is a high mortality if corrective cardiac surgery is not undertaken.
There are many examples of cyanotic congenital heart disease. More well known include:
Clubbing of the fingers and toes is associated with cyanotic congenital heart disease - it does not appear until approximately 3 months of age. Clubbing appears first in the thumb (1).
Reference:
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