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March 5, 1955


JAMA. 1955;157(10):842-843. doi:10.1001/jama.1955.02950270060019

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To the Editor:—  In the March 20, 1954, issue of The Journal, page 986, we published a report of the first closure of a ventricular septal defect by direct suture employing a "closed technique." We wish at this time to give the follow-up report on this patient. To briefly recapitulate, this patient was a 19-year-old white girl who had had known congenital heart disease since birth. Because of this she always restricted her activity. She was only partially disabled by her disease, the main symptom being dyspnea upon exertion. Preoperative cardiac catheterization studies revealed a pressure within the right ventricle of 80/3 mm. Hg. There was a significant left-to-right shunt flow demonstrated by the oxygen studies, which showed 13 vol. % in the superior vena cava, 12.5 vol. % in the inferior vena cava, 14.27 vol. % in the right atrium, and 15.9 vol. % in the right ventricle. From experience gained in the

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