December 1956

Tetralogy of Fallot with an Innominate Artery Aneurysm

Author Affiliations

Jackson, Miss.
From the Mississippi State Sanatorium and the Department of Surgery, University of Mississippi Medical Center.

AMA Arch Surg. 1956;73(6):999-1003. doi:10.1001/archsurg.1956.01280060099023

The tetralogy of Fallot has become a well-recognized entity, readily diagnosed and partially or totally corrected by various surgical procedures.* During the diagnostic evaluation and the surgical exploration, a wide variety of associated anomalies have been encountered and described. Variations of the great vessels are the commonest, and, in reviewing 610 cases with operation, Blalock and Bahnson4 found 140 right aortic arches, 26 retroesophageal subclavian arteries, 1 double aortic arch, and 1 instance of absence of the innominate artery on the left. To date, so far as can be determined, no case of an aneurysm of the innominate artery associated with pulmonic stenosis has been published. The following case is that of a typical tetralogy of Fallot and an aneurysm of the innominate artery.

Report of a Case  A 22-year-old white female student was admitted to Mississippi State Sanatorium on Dec. 9, 1952, because of an undiagnosed lesion in

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