Caso 1/2010 - adolescente de 15 anos, do sexo masculino, com fenda isolada da válvula anterior da valva mitral

Abstract

Patient remained asymptomatic until 5 years ago, when he presented progressively increasing fatigue on stress. Paroxysmal nocturnal dyspnea occurred twice in the last six months. Heart murmur had been heard when he was 5. Physical examinationEupneic, blushed and normal pulses. Weight: 53 Kg, height: 162 cm, BP: 110/80 mm Hg, Cardiac Frequency: 80 bpm. Aorta was not felt at suprasternal notch.Chest examination showed mild impulses on the left sternal edge and ictus was palpable in the 5 th intercostal space on the midclavicular line. Heart sounds were normal and there was protomesosystolic murmur, + / + + intensity, in the mitral area, irradiating more to the left sternal edge than to the armpit.