Robert D. Sloan

Coarctation of the aorta at unusual sites: Report of two cases with angiocardiographic and operative findings

Abstract 1. 1. Coarctation at an unusual site in the thoracic aorta of one patient and in the abdominal aorta of another has been demonstrated by angiocardiography and at operation. 2. 2. It is felt that the occurrence of aortic obstruction at such unusual sites, though admittedly rare, nonetheless provides a strong argument for routine use of angiocardiography preliminary to surgical treatment of coarctation. 3. 3. Ten similar cases collected from the literature are reviewed and discussed from the standpoint of the etiological basis. Although proof of any theory is lacking, it is felt that the stenosis in such instances is a congenital lesion. 4. 4. Thoracic and abdominal aortic constriction would appear to have a different though possibly related pathogenesis.

Angiocardiography in congenital heart disease of cyanotic type. II. Observations on tricuspid stenosis or atresia with hypoplasia of the right ventricle.

In the first of this series of articles (6), we discussed the angiocardiographic changes in the tetralogy of Fallot and in “pseudo-truncus arteriosus.” In this communication we shall direct our attention to another congenital cardiac disorder of the cyanotic type, namely, tricuspid stenosis or atresia with hypoplasia of the right ventricle. Until a short time ago, this anomaly was thought rather rare. Gibson and Clifton (8) discovered it only twice in 105 autopsies of children with congenital heart disease. Manhoff and Howe (9), in their recent review of the literature, however, found 33 instances of the condition; they added a case of their own, which was accompanied by transposition of the great vessels, atresia of the pulmonary artery, and a patent ductus arteriosus. Since this review, seven other cases have been reported, by Alexander and White (1), Taussig (14), Robinson and Howard (11), and Dunsky (7). Tricuspid stenosis or atresia with hypoplasia of the right ventricle has recently stimulated consi...

CYSTIC TERATOMA (DERMOID) OF THE OVARY.

Cystic teratoma of the ovary is the technically preferable designation for the tumors to be discussed in this communication, as the majority contain derivatives of all three germ layers. The term “dermoid” (1), however, is so firmly entrenched in everyday usage that it will probably never be dislodged. Briefly, to place the lesion in proper perspective, cystic teratomas comprise approximately 10 per cent of all ovarian tumors, most commonly becoming apparent during the child-bearing years (2). They are bilateral in 10 to 20 per cent of the cases; occasionally multiple teratomas have been noted in one or both ovaries (3, 4). Peterson et al. (2), reviewing approximately one thousand ovarian teratomas, found that 80 per cent were between 5 and 15 cm. in diameter, with 13 per cent measuring less than 5 cm. and the remaining 7 per cent more than 15 cm. The most common complication is torsion. In Petersons series this occurred in 13 per cent of the cases. Infection was noted in 2 per cent, with rupture and mal...

Coarctation of the Aorta

Coarctation of the aorta is a congenital malformation in which a segment of the aorta is constricted. Classically, the narrowing occurs between the origin of the left subclavian artery and just dis...

Tuberculosis and congenital cyanotic heart disease

Abstract In an attempt to ascertain the incidence of pulmonary tuberculosis among patients with congenital cyanotic heart disease, we have reviewed the roentgenograms of the chest of 800 patients who were submitted to operation for pulmonary stenosis. Thirty-nine of these patients presented radiologic findings consistent with pulmonary tuberculosis. Further study of these thirty-nine patients, including tuberculin tests, excluded tuberculosis in twenty-four instances. In the 800 patients the maximal possible incidence of tuberculosis by these criteria is less than 2 per cent. The experimental work on aggravation of induced pulmonary tuberculosis by circulatory alteration in the lung is reviewed. In the light of this work we have briefly discussed the most suitable operative procedures for correction of congenital cyanotic heart disease complicated by pulmonary tuberculosis. The recommendations are illustrated by two detailed case reports.

Coarctation of the Aorta1

Coarctation of the aorta is a congenital malformation in which a segment of the aorta is constricted. Classically, the narrowing occurs between the origin of the left subclavian artery and just dis...