EISENMENGER SYNDROME (SUBACUTE BACTERIAL
ENDOCARDITIS PROPHYLAXIS)
A25-year-old woman with an uncorrected ventricu-lar septal defect
presents for extraction of multiple impacted molar teeth. She has a history of
palpitations, cyanosis since 5 years of age, and limited exercise tolerance.
Her oxygen saturation on room air measured by pulse oximetry is 75%.
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