Caso 4/2004

Abstract

presented with a cardiac murmur during her first month of life. However, no clinical signs were evidenced until she was three months old when she started suffering from cyanosis and hypotonia under effort and a reduction of stature gain. She presented in a good general state, (hydrated and ruddy complexion) but with slight dyspnea and cyanotic ++/4 and the peripheral saturation of O 2 at 60%. Ictus cordis presented without alterations with a regular rhythm of two normal sounds and systolic murmur of intense ejection at left sternal border. The pulmonary auscultation was symmetrical, without adventitious sounds. The abdomen presented without alterations. The extremities had symmetrical pulses and good perfusion. ELECTROCARDIOGRAM Sinusal rhythm with a frequency of 150 beats per minute was seen. The QRS axis was +120º with right deviation. The right atrium and ventricle were overloaded.