A 6-year-old healthy male subject is brought to the emergency department ICU. His parents report that this child has been suffering with these symptoms since he was 10 months old. Though the subject was born to an HIV positive mother he was HIV negative. He has a cough and difficulty breathing. Upon arrival, the child appears to be ill and in significant respiratory distress. Subject suffering from Dextrocardia, large posterior upper muscular VSD,MLV to MRV shunt (difficult routability to AORTA), aortic from RV, No antegrade pulmonary flow, confluent branch PA's, smooth phasic unobstructed flow in the BD Glenn shunt, good LV function, and IVC uninterrupted. Dextrocardia is a condition in which the heart is pointed toward the right side of the chest. Normally, the heart points towards the left. The condition is present at birth (congenital). The parents report that their child has been coughing for a few days without significant sputum production. He has also seemed slightly more fussy than usual and has had a poor appetite and mild nasal congestion over the past few days. He and his parents are taken immediately to a resuscitation room, and the resident physician and attending physician are called to the bedside by the ED staff. The child has no known allergies. Although his appetite is poor, he was tolerating feedings up until today. The parents do not report any known sick contacts or travel. Depending on the cause, treatment could involve medications, oxygen therapy, surgeries, or specialist consultations. These can all be financially draining. Parents used to miss their work to care for their child's medical needs, leading to lost wages. Frequent doctor visits and hospital trips can add up in transportation costs.