Summative Diagnosis:
Complex congenital heart disease associated with persistent truncus arteriosus (PTA), atriventricular septal defect (AVSD), aortic arch anomalies such as incomplete vascular ring.

Noncardiovascular phenotype: micropthalmia/anopthalmia, short snout, micrognathia, cleft palate, tracheosophageal fistula, preaxial digit duplication on all four limbs, hypoplastic spleen.

Fyler Codes
The Fyler code developed by The Boston Children's Heart Foundation in Boston Children's Hospital provides a hierarchical clinical diagnosis of congenital cardiovascular defects and other disorders. These codes are used to delineate pathology in the mutant mouse models that parallel human disease and can be cross referenced to the International Pediatric and Congenital Cardiac Code (IPCCC) (http://www.ipccc.net/).

Fyler Codes	Code Description
500	Truncus arteriosus
1100	Atrioventricular canal (endocardial cushion defect)
2730	Aberrant left subclavian artery
2760	Vascular ring
4044	VATERS/VACTERLS Syndrome
4103	Polydactyly
4163	Micrognathia
4202	Tracheoesophageal fistula
4864	Anophthalmia
4876	Cleft palate
4877	Microphthalmia
4906	Non-cardiac abnormality