A 2 month old boy is brought in for poor feeding and tachypnea. Examination reveals a harsh holosystolic murmur best heard at the left lower sternal border. Echocardiography shows a defect in the membranous interventricular septum with left to right shunting. Which of the following is the most likely diagnosis?
- A)Atrial septal defect
- B)Patent ductus arteriosus
- C)Tetralogy of Fallot
- D)Tricuspid atresia
- E)Ventricular septal defectGABARITO
Explicação
A ventricular septal defect is the most common congenital heart defect and classically produces a harsh holosystolic murmur at the left lower sternal border. Left to right shunting increases pulmonary blood flow and can cause heart failure symptoms in infancy.... Ver explicação completa e trilha adaptativa →