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Article
March 19, 1887

UNUSUAL CARDIAC ANOMALY.

JAMA. 1887;VIII(12):318. doi:10.1001/jama.1887.02391370010001c

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Abstract

I wish briefly to record a case of cardiac anomaly which is altogether different from any case that I have ever seen, and so far as I can find there is no similar case on record. The case is as follows:

I was called to see the child when one week old. I found it fairly well developed, weighing eight or nine pounds, with more or less incomplete, though marked, cyanosis. Breathing was labored, and there was a slight cough. I made a diagnosis of nonclosure of the foramen ovale, and gave an unfavorable prognosis.

I was superseded by a physician of considerable reputation, who pronounced my diagnosis incorrect.

Thirteen months later I was again called to see the child. I found that it had grown but very little, and was much emaciated, not weighing more than ten or twelve pounds. It was suffering with a well-marked case of chronic

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