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Article
February 1, 1958

METHOD OF RADIOLOGIC DIAGNOSIS OF CONGENITAL HEART DISEASE IN CHILDREN

Author Affiliations

Minneapolis

Assistant Professor of Radiology (Dr. Lester); Medical Fellow in Radiology, University Hospitals, (Dr. Gedgaudas); and Professor of Radiology (Dr. Rigler), Medical School, University of Minnesota. Dr. Gedgaudas is now at St. Boniface Hospital, St. Boniface, Manitoba, Canada, and Dr. Rigler is now Consultant and Director of Education, Department of Radiology, Cedars of Lebanon Hospital, and Visiting Professor of Radiology, University of California, Los Angeles.

JAMA. 1958;166(5):439-443. doi:10.1001/jama.1958.02990050009002
Abstract

The systematic application of roentgenologic criteria here proposed permits the objective classification of patients with congenital heart disease. The basic criterion is the degree of pulmonary arterial vascularity, which may be increased, normal, or decreased. The first class, marked by increased pulmonary vascularity, is the largest, it includes interventricular and interatrial septal defects, the most frequent congenital heart lesions. The second largest class, marked by decreased pulmonary vascularity, includes another frequently seen lesion, the tetralogy of Fallot. The third class, with normal pulmonary vascularity, includes such lesions as coarctation of the aorta. Conventional films and fluoroscopy may need to be supplemented by retrograde aortography and angiocardiography; in addition, roentgenographic findings during heart catheterization often give valuable diagnostic clues. Analysis of the roentgenologic features of a case, obtained by conventional x-ray examination without contrast, considered along with the simple clinical data, will generally yield a working diagnosis.

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