“…The physical examination is of the utmost importance that must include a thorough evaluation of the auscultatory findings, changes in blood pressure in the development of heart failure. 10 The development in recent years of the echocardiography for the assessment of patients with CHD, its use in surgical areas cardiovascular and hemodynamic interventionism, has offered a significant improvement in the diagnosis and management of this group of patients. 11 The echocardiography in its different modalities, results in the diagnostic method of choice in patients with CHD, because it allows you to perform an anatomical and functional assessment of these pathologies, in addition to being a non-invasive, reproducible, and low-cost, despite the fact that the volumes are overestimated in comparison with the Bland-Altman analysis of 25 patients, showed a better clinical correlation with ventricular function using magnetic resonance that through the 3rd dimensional echocardiography.…”