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Circulation. 1951;4:251-254

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(Circulation. 1951;4:251.)
© 1951 American Heart Association, Inc.


The Diagnosis of Aortic Septal Defect by Retrograde Aortography

Report of a Case

BENJAMIN M. GASUL M.D.1; EGBERT H. FELL M.D.1; RAUL CASAS M.D.1

1 From the Hektoen Institute of Medical Research, the Children's Department of the Cook County Hospital, and the Department of Pediatrics of the University of Illinois College of Medicine.

This rare congenital malformation is a round or oval opening between the ascending aorta and the main pulmonary artery above the semilunar valves. It is practically impossible to differentiate this malformation from a patent ductus arteriosus clinically because both malformations may present the same physical, fluoroscopic, roentgen and electrocardiographic findings. Even angiocardiography and cardiac catheterization do not differentiate these congenital malformations. The authors have studied 2 patients with aortic septal defects. One was operated at another clinic for a suspected patent ductus arteriosus, and the other case presented here was diagnosed by retrograde aortography.