26th April 2024

A 6-week-old baby presents with a history of recurrent respiratory infections and feeding difficulties.

A 6-week-old baby presents with a history of recurrent respiratory infections and feeding difficulties. The baby coughs and chokes during feeds and has episodes of cyanosis. On examination, there is mild intercostal recession and a heart murmur is audible. The baby’s growth has been below the 10th percentile since birth.

Which is the most likely diagnosis?