男孩，11岁。肺动脉瓣区听到3/6级收缩期杂音，同时听到不受呼吸影响的明显第二心音分裂。该患者可能是

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SQL Error: select id,body,options from ***_enewstiku where sourceid='32597' and id < 2591959 and id<>'2591959' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='32597' and id > 2591959 and id<>'2591959' order by id asc limit 5