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May 12, 1962

Congenital Heart Disease

Author Affiliations

100 High St., Buffalo 3

JAMA. 1962;180(6):510. doi:10.1001/jama.1962.03050190072019

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To the Editor:—  I was pleased to see congenital heart disease getting deserved emphasis in your X-ray Seminar Number 7, by William T. McCoy and Elwin W. Donnelly (JAMA179:217 [Jan. 20] 1962). It was a lucid presentation of an interesting case. I would take issue, however, with the statement: "Angiocardiography was considered unnecessary." In this particular case we are left with unexplained systolic and diastolic murmurs. While the management might be unchanged at present, it might be instructive to know whether there is regurgitation through either semilunar valve. Angiograms would also have added to the interest of the case report. In general, when properly performed, selective angiocardiography is so benign a procedure that one wonders whether any but the simplest cases of congenital heart disease can be considered well worked up without it.

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