11th April 2024

A 19-year-old female presents to the fertility clinic, unable to conceive over the past 18 months.

A 19-year-old female presents to the fertility clinic, unable to conceive over the past 18 months. Her medical history includes developmental delay and short stature. On examination, you notice swelling of her legs and feet and she has an audible systolic ejection murmur with a widely split and fixed second heart sound. Which of the following is the most likely underlying diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.