Regurgitaçäo congênita da válvula pulmonar / Congenital pulmonary valve regurgitation

Apresentaçäo de um caso de regurgitaçäo congênita da válvula pulmonar onde será discutido os aspectos do seu diagnóstico e conduta terapêutica.

Paradoxical interventricular septal movement in patients with bilharzial cor-pulmonale without clinical or phonocardiographic evidences of pulmonary and/or tricuspid regurge

* Twenty eight patients with bilharzial corpulmonale showing no clinical or phonocardiographic evidences of pulmonary and/or tricuspid regurge were the material of the present study. * Interventricular septal motion was studied in all cases and echocardiographic scoring of the degree of pulmonary hypertension was obtained in them. * Abnormal or paradoxical septal motion indicating diastolic overload to the right ventricle was observed in 20%, 22% and 43% of cases with mild, moderate and severe degree of pulmonary hypertension. * Diastolic overloading in these cases is probably due to incipient and clinically occult pulmonary and/or tricuspid regurge whose murmur in beyond the range of human ear audibility. * The presence of diastolic valume overloading in patients of bilharzial cor-pulmonale as evidenced by paradoxical septal motion in the absence of clinically demonstrable pulmonary and/or tricuspid regurge should destract the attention to incipient regurge of either valves