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Article
March 1964

Cor Pulmonale Secondary to Ventriculoauriculostomy

Author Affiliations

LOS ANGELES
Donald R. Sperling, MD, Childrens Hospital of Los Angeles, 4614 Sunset Blvd, Los Angeles, Calif 90204.; From the Divisions of Cardiology and Neurosurgery, Childrens Hospital of Los Angeles, and the University of Southern California School of Medicine.; Fellow in Cardiology, Assistant in Pediatrics, University of Southern California School of Medicine (Dr. Sperling) ; Instructor in Pathology, University of Southern California School of Medicine, Associate Pathologist, Childrens Hospital of Los Angeles (Dr. Patrick) ; Clinical Professor of Neurosurgery, University of Southern California School of Medicine (Dr. Anderson) ; Assistant Professor of Pediatrics, University of Southern California School of Medicine, Chief of Cardiology, Childrens Hospital of Los Angeles (Dr. Fyler).

Am J Dis Child. 1964;107(3):308-315. doi:10.1001/archpedi.1964.02080060310017
Abstract

The purpose of this paper is to alert physicians that hydrocephalic children with tube drainage of cerebrospinal fluid into the right atrium may insidiously develop cor pulmonale. This is an important complication to recognize early, since removal of the tube and replacement at another site, if necessary, may halt the process before right heart failure occurs.

Material and Method  A review of the autopsy files at Los Angeles Childrens Hospital over the last five years was undertaken seeking patients who had died at any time after a ventriculoauriculostomy.A concurrent cardiovascular evaluation of living children who had undergone this procedure was initiated. These patients have been seen as outpatients over the last six months. In addition to history and physical examination, we obtained an electrocardiogram, chest x-ray, blood culture, and phonocardiogram.The Heyer valve had been utilized in each patient. This has a simple unidirectional slit valve at the intracardiac

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