May 1956

Congenital Vascular Lesions Imitating the Patent Ductus

Author Affiliations

From the Department of Surgery, The Presbyterian Hospital, and The University of Illinois College of Medicine (Rush), and the Cardiac Division of the Children's Cook County Hospital (Hektoen Research Laboratory).

AMA Arch Surg. 1956;72(5):838-849. doi:10.1001/archsurg.1956.01270230102013

In the majority of patients with patent ductus arteriosus, with its associated continuous murmur and other classic findings, the diagnosis is usually not difficult, and the surgical treatment in these cases has become quite standardized. In doubtful cases catheterization and aortography are most helpful. There are, however, a few cardiovascular lesions which may be confused with a patent ductus arteriosus. In a series of 100-odd cases, operated upon at the Cook County Children's Hospital and the Presbyterian Hospital, certain vascular lesions were found which simulated a patent ductus. The purpose of this paper is to evaluate these conditions and to present the related problems.


Case 1.  —A 4-month-old infant was admitted on Dec. 30, 1953, to the Cook County Children's Hospital because of difficulty in breathing. She had experienced a recent upper respiratory infection. There was no history of cyanosis.Physical examination revealed a well-developed infant who

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