Viveca, this is a very serious congenital heart defect; the "TOF" at the bottom of the report stands for Tetrology of Fallot. It is a combination of four changes in the baby's heart anatomy that cause serious problems with growth and if untreated can be fatal.
There are surgeries to treat this condition and yes, they do surgery when the baby is very young. Please don't give up hope, for some children thrive and do well after surgery. As the doctor said, though, it's not a sure thing.
At this point your cousin can use your support and love. Reassure her that this was not caused by anything she did or didn't do. The baby needs love too, and most important, she needs human touch. A lot of people will be afraid to touch a sick baby, but touch is really important for infants.
I'm so sorry your cousin is going through this, but she's lucky to have your support. I know the people here at the heart forum will be along as the day progresses to offer you more information and support.
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