Diagnóstico ecocardiográfico de transposiçäo das grandes artérias associada à drenagem anômala de veias pulmonares / Echocardiographic diagnosis of transposition of the great arteries associated with anomalous pulmonary venous connection

We report 2 cases of transposition of the great arteries associated with anomalous pulmonary venous connection emphasizing the clinical findings, the diagnosis, and the evolution of the association. One of the patients had the anomalous pulmonary venous connection in its total infradiaphragmatic form, in the portal system, and the other patient had a partial form, in which an anomalous connection of the left superior lobar vein with the innominate vein existed. At the time of hospital admission, the patients had cyanosis and respiratory distress with clinical findings suggesting transposition of the great arteries. The diagnosis in 1 of the cases, in which the anomalous connection was partial, was established only with echocardiography, without invasive procedures that would represent risk for the patient; in the other case, in which the anomalous connection was total, the malformation was only evidenced with catheterization. The patients underwent surgery for anatomical correction of the heart disease. Only 1 patient had a good outcome

Avaliaçäo dos níveis pressóricos basais na infância da cidade de Santo André / Evaluation of the basl blood pressure levels in childhood in the city of Santo André

O trabalho visa estabelecer a importância de parâmetros, tais como idade, estatura, peso e sexo na gênese do nível pressórico basal na infância, bem como estabelecer um critério útil de normalidade pressórica para a populaçäo infantil de Santo André. Entre os parâmetros estudados, a estatura mostrou-se o mais útil