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At physical examinat ion: poor general s tatus, tachydyspneic, pale, weak pulses, especially in the lower limbs. Weight: 2500 g; Height: 48 cm; BP-RSL: 80/40 mm Hg, BP-RIL: 40 mm Hg, HR: 166 bpm, RR: 100 rpm. The aorta was not palpable at the sternal notch. There were mild precordial systolic impulses in the left sternal border and the apical impulse was not palpable. The heart sounds were very loud and there were no heart murmurs. The liver was palpable 4 cm from the right costal margin and the lungs were clear, with no adventitious sounds.

Caso 2/2012: recém-nascido de 11 dias com coarctação da aorta acentuada em choque cardiogênico