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  • Title: Pansystolic murmur in the newborn: tricuspid regurgitation versus ventricular septal defect.
    Author: Kelley JR, Guntheroth WG.
    Journal: Arch Dis Child; 1988 Oct; 63(10 Spec No):1172-4. PubMed ID: 3196072.
    Abstract:
    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.
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