Enlargement of the ascending aorta with Brom technique in a patient with Williams-Beuren syndrome.

Full-term male baby at 2.49 kg from Limeira do Oeste, Minas Gerias, Brazil. Mother with 32 years of age who used carbamazepine. In the neonatal period, the baby was diagnosed with genetic disorder possibly due to constant hypercalcemia, congenital heart disease, right inguinal hernia and fimosis. The baby had follow-up visits with a cardiologist until 7 years and 9 months of age, at which point he was at 27 kg and when he started to present fatigue during moderate and great efforts. The patient was referred to surgery, and also presented difficulties with reading and writing from a mild cognitive defect; he was very kind, and had a small nose and full lips (due to his syndrome). Physical examination revealed a good condition of the patient: eutrophic, afebrile, acyanotic. Regular cardiac rhythm, high murmur +++/6+ at left and right sternal margin, without opening snap and palpable fremitus in the sternal furcula. Normal pulmonary auscultation. Weak abdomen, liver at 1cm from the right costal edge, no palpable spleen, presence of normal hydro-aereal sounds without abdominal murmurs. Palpable and symmetric pulses in the extremities.