There was no evidence of distortion of the sternal notch in any patient, or of abnormalities of the chest wall, breast tissue, or pectoral development.
There was a grade 4/6 systolic ejection murmur at the left sternal border.
Clinical examination revealed a grade m/vi ejection systolic murmur at the upper sternal edge.
A systolic thrill was present along the left sternal border.
Cardiac examination demonstrated an increased left ventricular impulse with left upper sternal border thrill.
Three infants had superficial sternal infections and presented at a mean of 12 days postoperatively.
A systolic ejection click was also heard quite well at the left sternal border.
There was a grade 2/6 soft ejection systolic murmur at the lower right sternal edge.
