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.
—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
RATNER B, ABBOTT ME, BEATTIE WW. RARE CARDIAC ANOMALY: COR TRILOCULARE BIVENTRICULARE IN MIRROR-PICTURE DEXTROCARDIA WITH PERSISTENT OMPHALO-MESENTERIC BAY, RIGHT AORTIC ARCH AND PULMONARY ARTERY FORMING DESCENDING AORTA. Am J Dis Child. 1921;22(5):508–515. doi:10.1001/archpedi.1921.04120050079011
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