Simulating Ventricular Septal Defect
نویسندگان
چکیده
The classic findings of a patent ductus arteriosus in a young individual are familiar to most physicians. However, it has been appreciated that several factors, principally pulmonary hypertension or pulmonary artery dilatation in the absence of appreciable hypertension, may significantly alter the classic image and lead to the erroneous diagnosis of ventricular septal defect. In 10 surgically proved cases a patent ductus arteriosus
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The continuous machinery murmur heard over the pulmonary area is generally evidence of a patent ductus arteriosus, but there are exceptions when the murmur is due to congenital aortic septal defect (Gross, 1952; Gasul et al., 1951), to perforated aortic sinus into the right ventricle (Jones and Langley, 1949; Wood, 1950), or to rupture of an aortic aneurysm into the pulmonary artery (White et a...
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