<prompt> Pulmonary flow is decreased in -Fallots tetralogyEbsteinsanomallyCommon atriaTG V with intact septum  <response>: Rapid breathing in response to low oxygen levels and reduced pulmonary blood flow can occur. The hea murmur, which is commonly loud and harsh, is often absent in the first few days of life. The aerial oxygen saturation of babies with tetralogy of Fallot can suddenly drop markedly Ref Davidson 23rd edition pg 455 