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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="case-report" dtd-version="1.3" xml:lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v4i3.2349</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v4i3.2349</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Case Report</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Hypoplastic Left Heart Syndrome</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Mariam</surname>
            <given-names>Asra</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Ahmad</surname>
            <given-names>Zaeem</given-names>
          </name>
          <email>zaeem.ahmad344@gmail.com</email>
          <xref ref-type="aff" rid="aff2"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Hussain</surname>
            <given-names>Arif</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Nazeer</surname>
            <given-names>Nouman</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Zia</surname>
            <given-names>Humaira</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Bahawal Victoria Hospital Bahawalpur</institution>
      </aff>
      <aff id="aff2">
        <institution>Mayo Hospital Lahore</institution>
      </aff>
      <aff id="aff3">
        <institution>Holy Family Hospital Rawalpindi</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Zaeem Ahmad (zaeem.ahmad344@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2023-09-25">
        <day>25</day>
        <month>09</month>
        <year>2023</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2023</year>
      </pub-date>
      <volume>4</volume>
      <issue>3</issue>
      <fpage>240</fpage>
      <lpage>243</lpage>
      <history>
        <date date-type="received" iso-8601-date="2023-05-08">
          <day>08</day>
          <month>05</month>
          <year>2023</year>
        </date>
        <date date-type="accepted" iso-8601-date="2023-06-20">
          <day>20</day>
          <month>06</month>
          <year>2023</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2023 The Author(s)</copyright-statement>
        <copyright-year>2023</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v4i3.2349" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v4i3.2349.pdf" content-type="application/pdf"/>
      <abstract>
        <p>Hypoplastic left heart syndrome (HLHS) is a congenital heart disease characterized by varying degrees of underdevelopment of the heart's left side; this results in affected blood flow from the left half of the heart to the body. We report a case of three months old girl who presented to the outpatient department with symptoms of respiratory distress and cyanosis and was diagnosed as a case of HLHS on echocardiography. We discuss the epidemiology, clinical presentation, pathophysiology, risk factors, investigations and management of HLHS in brief.</p>
      </abstract>
    </article-meta>
  </front>
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  <back>
    <ref-list>
      <title>References</title>
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      </ref>
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    </ref-list>
  </back>
</article>
