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CLINICAL DATA The case of a 47-day-old white male weighing 3695 g is reported. The child was prescribed furosemide, digoxin and captopril and referred to our service with a diagnosis of severe congenital heart disease. Since birth, he became tired during breastfeeding that evolved with tachydyspnea leading to hospitalization in the intensive care unit with a diagnosis of bronchopneumonia requiring mechanical ventilation. He was in a moderate general state, ruddy, hydrated and intubated. His thorax was symmetrical with ictus cordis palpable at the 4th left intercostal space. His heart rhythm was regular with two normal sounds and an ejective murmur +/6+ at the left sternal edge. Pulmonary auscultation identified bilateral coarse crackles. The abdomen was rounded; the liver was 4 cm from the right costal edge and there were fluid sounds. The pulses of the lower limbs were diminished; the arterial pressures of the arms were 130 x 50 mmHg and of the legs 40 x 20 mmHg. Oximetry of the pulse of the upper limbs was 90%.

Caso 3/2007 - Coarctação de aorta: aortoplastia com interposição da artéria subclávia esquerda (Técnica de Teles Mendonça)