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Article
August 4, 1906

CONGENITAL MALFORMATION OF HEART, WITH MALPOSITION OF CERTAIN VISCERA AND ABSENCE OF SPLEEN.

Author Affiliations

REDFIELD, S. D.

JAMA. 1906;XLVII(5):363. doi:10.1001/jama.1906.25210050047003f
Abstract

The case in question was that of an infant which lived but four and one-half hours and was in the service of my colleague, Dr. H. C. Burch.

The mother, Mrs. A. J. O., was a primipara; pregnancy was normal and the child, a female, was born at full term, March 4, 1906. Labor was difficult, instrumental, but was not allowed to be overprolonged. The head was right occipital anterior.

The child at birth was feeble; there was difficulty in establishing respiration, and throughout the four and one-half hours of life the cry was weak and fretful. The attendant's attention was first attracted to the apex beat, which was situated three-fourths of an inch directly below the right nipple.

On the death of the child an autopsy was requested and granted. Our findings were as follows: An infant of nine and one-half pounds and perfectly normal on external examination. When

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