Abstract:A 22-year-old white man, admitted with a dry cough complaint, dyspnea to effort, palpitations and daily fever, with a two-month evolution. Patient of congenital cardiopathy and cataract. His mother had German measles in the second month of pregnancy. BP = 160/90 mmHg in upper limbs, there were no palpable pulses in lower limbs. Systolic impulse verified in the 5 th left paraesternal intercostal space, where a tremor irradiated until the 2 nd right paraesternal intercostal space. A rude mesotelesystolic murmur … Show more
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