- Sub-pulmonary stenosis
- Aorta that over-rides the VSD
- Results in cyanotic heart dz at young age
- Very rare to present in adulthood in developed world
- Profound sob and DOE
- Paradoxical emboli→ cerebral abscess or stroke
- Systolic murmur along sternal border
- Other findings CHF
- Findings of endocarditis if clinical sx
- Findings polycythemia