FOUAD BASHOUR, M.D.; PAUL WINCHELL, M.D.
Until 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."5
After premedication with barbiturates, local procaine anesthesia and procaine amide, cardiac catheterization
BASHOUR F, WINCHELL P. PREPONDERANT LEFT-TO-RIGHT FLOW THROUGH A VENTRICULAR SEPTAL DEFECT IN THE PRESENCE OF PULMONARY STENOSIS1. Ann Intern Med. 1955;42:1227–1237. doi: 10.7326/0003-4819-42-6-1227
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Published: Ann Intern Med. 1955;42(6):1227-1237.
Cardiology, Valvular Heart Disease.
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