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Clinical data: During routine examination, cardiac murmur was heard in an 8-year-old patient. At the time, infundibular pulmonary stenosis with pressure gradient of 69 mmHg was diagnosed by echocardiography. Progressive fatigue on efforts has been noticed for two years, as well as unstable chest pain. No specific medication was administered during this period. Physical examination: The patient was in good general condition, eupneic, with normal pulse and normal color. Weight: 42.6 kg; height: 160 cm; BP: 110/70 mmHg; HR: 80 bpm, O2 saturation: 96%. The aorta could not be felt at suprasternal notch. Precordial systolic impulsions were discrete. Apical impulse was not palpable. The heart sounds were normal and systolic murmur ++ was harsh, across the left sternal border. The liver was not palpable and the lungs were clear.

Caso 4/2012: homem de 25 anos com fibroma obstrutivo na via de saída do ventrículo direito