The relative value of the various data obtained from physical examination, history, electrocardiography, fluoroscopy, and roentgenography in the diagnosis of congential heart disease can be determined only from a series of patients whose thoracic viscera have been actually seen during subsequent surgery or at autopsy. Study of 279 autopsies of children has led to the formulation of 11 questions that should be answered in making a diagnosis. Painstaking analysis of all available data is important because an accurate diagnosis is possible in many cases. Surgery sometimes offers the only chance for survival, and for some congenital malformations surgery is not only palliative but curative.
Wedum BG. DIFFERENTIAL DIAGNOSIS OF CONGENITAL HEART DISEASE IN INFANCY. JAMA. 1957;165(6):651–657. doi:10.1001/jama.1957.02980240009003
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