Pansystolic murmur in the newborn: tricuspid regurgitation versus ventricular septal defect.
Neonates with a pansystolic murmur who had Doppler echocardiography were reviewed. Ten infants had tricuspid regurgitation (detected at a mean age of 25 hours), 12 had a ventricular septal defect (detected at 65 hours), and seven had both. Tricuspid regurgitation is the more likely cause of a pansystolic murmur at the lower left sternal border in the first day of life.
Kelley
J R
JR
Department of Pediatrics, University of Washington School of Medicine, Seattle.
Guntheroth
W G
WG
D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D006326:Heart Auscultation; D006337:Heart Murmurs; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis*