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Cine-aortographic Evaluation of Aortic Insufficiency: Unsuspected Idiopathic Aneurysmal Dilatation of the Aortic Root as a Possible Indication of the Marfan Syndrome

JOHN S. BARRETT, M.D.; JOHN HELWIG JR., M.D., F.A.C.P.; CALVIN F. KAY, M.D., F.A.C.P.; and JULIAN JOHNSON, M.D., F.A.C.S.
Ann Intern Med. 1964;61(6):1071-1083. doi:10.7326/0003-4819-61-6-1071
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This excerpt has been provided in the absence of an abstract.

Since 1961, percutaneous retrograde femoral cine-aortography has been utilized at the Hospital of the University of Pennsylvania in the evaluation of patients prior to cardiac surgery, especially surgery for disease of the aortic valve. Cine-aortography, done in conjunction with the determination of pressure gradients across the aortic valve, allows one to make an anatomic evaluation of the aortic root and aortic valve and also provides an evaluation of the status of the coronary arteries.

From November 1, 1961, to December 31, 1963, 211 patients have undergone retrograde cine-aortography without mortality or serious morbidity. Among these was Patient D. K., a

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