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November 1921

RARE CARDIAC ANOMALY: COR TRILOCULARE BIVENTRICULARE IN MIRROR-PICTURE DEXTROCARDIA WITH PERSISTENT OMPHALO-MESENTERIC BAY, RIGHT AORTIC ARCH AND PULMONARY ARTERY FORMING DESCENDING AORTA

Author Affiliations

NEW YORK; MONTREAL, CANADA
From the pediatric Service of the New York Nursery and Child's Hospital (Dr. Oscar M. Schloss, Director) and the Department of Pediatrics, Cornell University Medical College, and the Medical Museum, McGill University.

Am J Dis Child. 1921;22(5):508-515. doi:10.1001/archpedi.1921.04120050079011
Abstract

In the remarkable case of congenital cardiac disease here recorded a complete absence of the interauricular septum is associated with other anomalies of a very unusual character, the whole forming a combination which, we believe, is unique in the literature.

CASE REPORT 

Clinical Data.  —A female infant, 17 days old, of Italian parentage was brought to the New York Nursery and Child's Hospital in a moribund state. The family history was negative. The child was of full term, normal delivery. Three days before admission the parents noted for the first time slight cyanosis of the extremities and somewhat difficult respiration.On admission the infant presented extreme general cyanosis and Cheyne-Stokes' respiration. Both sclerae and conjunctivae contained extravasations, and several hemorrhagic spots were noted over the body. The apex beat was extremely faint—best heard to the right of the mid-clavicular line at about the sixth interspace. A faint prolonged systolic murmur

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