A 2-month-old male is brought to the ER because he had an episode of “turning blue”. His mother had him at 40 weeks’ gestation without any complications. This morning he was feeding from his bottle when he became diaphoretic and cyanotic for a few minutes. There have been several episodes of this while he has been feeding or crying int he past, but they have not lasted as long. She was scared today so brought him in for evaluation. His temperature is 98.4°F, blood pressure is 90/55 mm Hg, heart rate is 155, and respirations are 50. A physical exam reveals an agitated, tachypneic, and cyanotic baby. A cardiac exam demonstrates the presence of a 2/6 systolic crescendo-decrescendo murmur on the left sternal border. An echo shows the presence of a VSD as well as a pulmonary artery stenosis. The infant is placed in a knees to chest position and the cyanosis resolves. What is the likely diagnosis of this patient?
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