Ventricular septal defect Quiz: Ace Your Exams
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An 11-month-old girl is brought to the pediatrician for a routine visit. The parents have no acute complaints, and the patient has been meeting developmental milestones. Family history is notable for hypertension in her father and an atrial septal defect in her older brother. The rest of the history is noncontributory. Vitals are within normal limits. Physical examination is notable for a III/VI harsh, holosystolic murmur most prominent at the left lower sternal border. Pulmonary and abdominal examination is unremarkable. Review of the patient’s medical record reveals that no murmur was heard at the time of birth. Which of the following is the most likely cause of this patient’s findings?
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