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(Circulation. 1950;2:558.)
© 1950 American Heart Association, Inc.

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Survival to the Age of Seventy-Five Years with Congenital Pulmonary Stenosis and Patent Foramen Ovale

PAUL D. WHITE M.D.¹; JOHN W. HURST M.D.¹; ROBERT H. FENNELL M.D.¹

¹ From the Massachusetts General Hospital, Boston, Mass.

It is very rare for a person with cyanosis and finger clubbing due to congenital heart disease to reach old age. Survival beyond the age of 50 has been noted only a few times and, as far as we are aware, survival of a person with morbus caeruleus beyond 70 years is unique. The patient reported below showed at autopsy marked pulmonary stenosis and patency of the atrial septum simulating the tetralogy of Fallot. One of the reasons for the long survival was undoubtedly a markedly developed collateral bronchial circulation.

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