A 3-month-old male presents with poor feeding and a harsh holosystolic murmur best heard at the left lower sternal border. Vital signs show HR 145 bpm, RR 42/min, BP 92/58 mmHg, and SpO2 98% on room air. He gains weight appropriately and has no cyanosis. Chest radiograph reveals mild cardiomegaly with normal pulmonary vascularity. Echocardiography demonstrates a defect in the ventricular septum with left-to-right shunting. Which congenital lesion is most likely?

  1. A)Tetralogy of Fallot
  2. B)Atrial septal defect
  3. C)Patent ductus arteriosus
  4. D)Coarctation of the aorta
  5. E)Ventricular septal defectGABARITO

Explicação

Ventricular septal defect is correct. A left to right shunt across the interventricular septum produces a harsh holosystolic murmur at the left lower sternal border. Small defects may be asymptomatic except for the murmur. Ver explicação completa e trilha adaptativa →

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