Kositchek, Robert J.; Schreiner, Betty J.
June 1971
Angiology;Jun1971, Vol. 22 Issue 6, p364
Academic Journal
The patient, a ‘blue baby,rsquo; had been examined in several cardiac centers during his youth, and open heart intervention had been tried without success. The clinical impression at the time of his last hospitalization was tetralogy of Fallot, with secondary polycythemia. On the fifth day he lapsed into coma and died six days later at ago 32. At autopsy, a single ventrich with a common atrioventricular valve was demonstrated. There was no rudimentaiy outlet chamber, but a small muscular band on the left lateral wall was interpreted as a rudimentary ventricular septum. The great arteries were in normal position. Concomitant pulmonary stenosis was of the infundibular type. Since this particular combination of congenital anomalies did not appear in the 60 cases analyzed by Van Praagh et al, it would seem to be unique. Congenital cardiac defects, particularly in cyanotic children, are often associated with mental retardation, but this man was a productive free-lance writer until his last illness.


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