Caso 8/2004

Abstract

CLINICAL DATAWe report on a 5-year-old male Caucasian patient weighing 16 kg. In the first year of life a heart murmur was identified during a routine check-up and the patient was clinically followed up until she was referred to our department. She was asymptomatic and did not require medications. She was in a good general state, ruddy, hydrated, acyanotic and with eupnaea. Her thorax was symmetrical, ictus cordis was palpable, normal heart sounds with a systo-diastolic murmur of ++++/6 at the medium left sternal border. The lungs had a symmetrical vesicular murmur without adventitious sounds. The abdomen was unchanged. The peripheral pulses were strong and symmetrical in all four limbs. ELECTROCARDIOGRAPHYThe electrocardiographic examination showed sinusal rhythm with a frequency of 107 beats per minute and the electrical axis of the QRS complex was + 30º, thus within normal limits. RADIOGRAPHYThe cardiac area was slightly increased with a cardiothoracic index of 0.53. The greatest increase was seen in the left ventricular chamber and there was a moderate dilation of the aortic arch. The pulmonary territories did not show changes.