Case 1/2007--a three-year old child with infundibular pulmonary stenosis.

Mailing Address: Edmar Atik • InCor – Av. Dr Enéas C. Aguiar, 44 – 05403-000 – São Paulo, SP, Brazil E-mail: [email protected] Clinical data A three-year-old white female who had been previously diagnosed by echocardiography as having Tetralogy of Fallot with perimembranous ventricular septal defect (VSD) and infundibular pulmonary stenosis after a heart murmur was detected in a routine examination when she was five months old. The child remained asymptomatic and without medication. A recent echocardiogram showed that the ventricular septal defect was only 4 mm in diameter, next to the obstructive defect. On physical examination she was eupneic, with normal pulses, body weight of 14 kg, heart