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We note with interest the comments of Dr. Way. Our patient is still alive and no pathologic studies can be made. As postulated by Dr. Way, the pathology of rubella myocarditis can conceivably vary from an inflammatory process with cellular infiltration and myocardial necrosis to absence of some muscle layers based upon embryogenetic aberration. One or both mechanisms may be responsible for the disorder in our patient.
HORST RLVD. LEFT VENTRICULAR ANEURYSM IN RUBELLA HEART DISEASE-Reply. Am J Dis Child. 1971;121(5):451. doi:10.1001/archpedi.1971.02100160121026