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General Medicine General 67ca3c7b

In a 5 year old child, instead of the physiological splitting of second hea sound which is expected only during inspiration, a wide and a fixed split of S2 is heard during both inspiration as well as expiration. Wide fixed split of second hea sound can be seen in all of the following EXCEPT?

A
Atrial septal defect
B
Ventricular septal defect
C
Right bundle branch block
D
Total Anomalous pulmonary venous connection

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