<prompt> A patient presents with LVH and pulmonary complications. ECG shows left axis detion. Most likely diagnosis isTOPTricuspid atresiaTAPVCVSD  <response>: In tricuspid atresia ECG shows left axis detion and left ventricular hyperophy. Sincethepulmonary blood flow is abnormal may present with pulmonary complications. Ref Ghai pediatrics eighth edition pg no 422 