PREPONDERANT LEFT-TO-RIGHT FLOW THROUGH A VENTRICULAR SEPTAL DEFECT IN THE PRESENCE OF PULMONARY STENOSIS
Authors: F BASHOUR, P WINCHELL
Journal: Annals of Internal Medicine (1955)

Article1 June 1955PREPONDERANT LEFT-TO-RIGHT FLOW THROUGH A VENTRICULAR SEPTAL DEFECT IN THE PRESENCE OF PULMONARY STENOSISFOUAD BASHOUR, M.D., PAUL WINCHELL, M.D.FOUAD BASHOUR, M.D.Search for more papers by this author, PAUL WINCHELL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-42-6-1227 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptUntil recently there have been few reported cases of a left-to-right shunt through a ventricular septal defect in the presence of pulmonary stenosis. There are now available several papers dealing with this unusual combination.1-8 Examples of left-to-right shunt in the presence of pulmonary stenosis have also been reported in which other anomalies also occurred, such as anomalous pulmonary venous drainage,9, 10 atrial septal defect,1 aortic-pulmonic communication,11, 12 and ruptured sinus of Valsalva.11, 13 We have had an opportunity to study three adult cases of "acyanotic Fallot's tetralogy."5METHODSAfter premedication with barbiturates, local procaine anesthesia and procaine amide, cardiac catheterization...Bibliography1. BroadbentWoodBurchell JCEHHB: Left to right intracardiac shunts in the presence of pulmonary stenosis, Proc. Staff Meet., Mayo Clin. 28: 101-106, 1953. Google Scholar2. Goetzsche H: Congenital heart disease. The clinico-roentgenologic picture after the age of 2 years based upon about 200 cases with cardiac catheterization. Pulmonary stenosis and interventricular septal defect, 1952, H. P. Hauseus Boztrykheri, Copenhagen, p. 136. Google Scholar3. Kramer R: Congenital stenosis of the pulmonary artery with septal defect but without over-riding aorta. Its diagnosis, differential diagnosis and treatment, Acta paediat. Suppl. 40: 195-196, 1951. Google Scholar4. Wood P: Congenital heart disease, a review of its clinical aspects in the light of experience gained by means of modern techniques, Brit. M. J. 2: 629-645 and 693-698, 1950. Google Scholar5. WoodMagidsonWilson POPA: Ventricular septal defect with a note on acyanotic Fallot's tetralogy, Brit. Heart J. 16: 387-406, 1954. CrossrefMedlineGoogle Scholar6. MagidsonCosbyDimitroffLevinsonGriffith ORSSPDCGC: Pulmonary stenosis with left to right shunt, Am. J. Med. 17: 311-321, 1954. CrossrefMedlineGoogle Scholar7. Campbell M: Simple pulmonary stenosis and pulmonary valvular stenosis with a closed ventricular septum, Brit. Heart J. 16: 273-300, 1954. CrossrefMedlineGoogle Scholar8. MoffittZinsserKuoJohnsonSchnabel GRHFPTJTG: Pulmonary stenosis with left to right intracardiac shunts, Am. J. Med. 16: 521-527, 1954. CrossrefMedlineGoogle Scholar9. DotterHardistySteinberg CTNI: Anomalous right pulmonary vein entering the inferior vena cava, Am. J. M. Sc. 218: 31-36, 1949. CrossrefMedlineGoogle Scholar10. Brody H: Drainage of the pulmonary veins into the right side of the heart, Arch. Path. 33: 221-238, 1942. Google Scholar11. DeucharZak DCGA: Cardiac catheterization in congenital heart disease: four cases of pulmonary stenosis with increased pulmonary blood flow, Guy's Hosp. Rep. 101: 1-22, 1952. MedlineGoogle Scholar12. TaylorDuShane BJ: Patent ductus arteriosus associated with pulmonary stenosis, Proc. Staff Meet., Mayo Clin. 25: 60-62, 1950. MedlineGoogle Scholar13. LeviZorzi GM: Etude anatomo-clinique de deux cas d'aneurisme communicant aorto-ventriculaire droit (aneurismes du sinus de Valsalva), Cardiologia 15: 1-11, 1949. MedlineGoogle Scholar14. HamiltonWinslowHamilton WFJAWF: Notes on case of congenital heart disease with cyanotic episodes, J. Clin. Investigation 29: 27-29, 1950. CrossrefGoogle Scholar15. AndersonAllenBarcroftEdholmManning DPWJHOGGW: Circulatory changes during fainting and coma caused by oxygen lack, J. Physiol. 104: 426-434, 1946. CrossrefGoogle Scholar16. HowarthLowe SJB: The mechanism of effort syncope in primary pulmonary hypertension and cyanotic congenital heart disease, Brit. Heart J. 15: 47-53, 1953. CrossrefMedlineGoogle Scholar17. ConnollyLevKirklinWood DCRJWEH: The problem of isolated valvular versus infundibular pulmonic stenosis with particular reference to cardiac catheterization data and records obtained at the time of operation, Proc. Staff Meet., Mayo Clin. 28: 65-71, 1953. MedlineGoogle Scholar18. RudolphNadasGoodale AMASWT: Intracardiac left to right shunt with pulmonic stenosis, Am. Heart J. 48: 808-816, 1954. CrossrefMedlineGoogle Scholar19. LilleheiVarco CWRL: Personal communication. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Minneapolis, Minnesota*Received for publication March 1, 1955.From the Department of Medicine, The Variety Club Heart Hospital, University of Minnesota Hospital, Minneapolis, Minnesota. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCONGENITAL CARDIOPULMONARY ANOMALIESDie Fallotsche Tetralogie und Trilogie. Pathologie, Pathophysiologie und KlinikThe differentiation of pulmonic stenosis, ventricular septal defect with normal aortic root from tetralogy of FallotVENTRICULAR SEPTAL DEFECT WITH PULMONARY STENOSISPulmonary Stenosis with Left-to-Right Shunt: A Physiological Variant of Fallot's TetralogyCurrent pediatric references 1 June 1955Volume 42, Issue 6Page: 1227-1237KeywordsAnesthesiaCatheterizationHeartHospital medicineStenosisVentricular septal defects ePublished: 1 December 2008 Issue Published: 1 June 1955 PDF downloadLoading ...