[Kawasaki disease in Pernambuco, Brazil. Considerations on a case seen in a general hospital]. / Doença de Kawasaki em Pernambuco. Considerações sobre um caso visto em hospital geral.

The first case of Kawasaki disease in Pernambuco, Brazil, is described. An 18-month-old by presenting with fever, adenomegaly and mucocutaneous rash, had right and left coronary arteries dilation and aneurysm detected on echocardiography. Treated with a high dosage of aspirin, the patient is asymptomatic after a 7-month follow-up, with regression of coronary lesions.

[Aortic insufficiency and septal hypertrophy in a boy with Down's syndrome]. / Insuficiência aórtica e hipertrofia septal em menino portador da síndrome de Down.

A 9-year-old boy with Down's syndrome and aortic regurgitation. In this patient bicuspid aortic valve and rheumatic fever could not be proved. On echocardiography, basal septal hypertrophy with significantly protrusion into the left ventricular outflow tract was observed. It could explain the aortic regurgitation by ejection flow eccentrically directed to right coronary cuspid, causing a jet lesion.

Cardiac extension of primary mediastinal seminoma compressing the right ventricular outflow tract.

We report the case of a 33-year-old male with primary seminoma of the anterior mediastinum with initial clinical manifestations suggestive of heart disease.

Mital valve disease with rheumatic appearance in the presence of left ventricular endomyocardial fibrosis.

This is a report of a nine-year-old boy with both mitral stenosis and regurgitation and extensive endomyocardial fibrosis of the left ventricle. Focus is given to the singularity of the fibrotic process, with an emphasis on the etiopatho-genic aspects.

[Infective endarteritis following aortic coarctation in a 11-year-old boy]. / Endoarterite infecciosa pós-coarctação de aorta em menino de 11 anos.

The authors describe an unusual case of infectious endo-arteritis after aortic coarctation. Clinical and echocardiographic aspects and the excellent surgical results are enhanced.

Disritmias cardiacas no recem-nascido.Observacoes no bercario de um hospital geral. / Cardiac dysrhythmia in the newborn infant. Observations in the nursery of a general hospital

Os autores relatam a experiencia inicial no reconhecimento e manuseio de disritmias cardiacas diagnosticadas no bercario de um hospital geral. Apos discussao de possibilidades etiologicas, demonstraram a preponderancia de disritmias supraventriculares no grupo etario e o efeito terapeutico com o uso do esquema digoxina e/ou propranolol. A ocorrencia na serie analidada de dois casos de parassistolia atrial e realcada, levantando a questao da real frequencia desta rara disritmia no recem-nascido e seus aspectos evoluativos