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Case Reports
November 1941

UNCOMPLICATED INTERATRIAL SEPTAL DEFECT (PATENT FORAMEN PRIMUM)REPORT OF A CASE IN WHICH CONGESTIVE HEART FAILURE AND DEATH OCCURRED AT ONE MONTH OF AGE

Am J Dis Child. 1941;62(5):1041-1045. doi:10.1001/archpedi.1941.02000170135012
Abstract

Instances of uncomplicated congenital defects in the interatrial septum are not common. Tinney,1 in the most recent publication dealing with this subject, brings the total number of reported cases up to 86. Of this number, the first series to be analyzed consisted of 62 cases considered by Roesler.2

In the following case there was a patent foramen primum. This simple defect in the lower portion of the interatrial septum was alone sufficient to produce clinically recognizable and pathologically demonstrable congestive heart failure, and death occurred at 1 month of age. Such a chain of events is unique in the light of previously reported cases.

REPORT OF CASE  History.—The patient, a 1 month old white boy, was admitted to the Children's Hospital (service of Dr. J. P. Scott) July 29, 1940 with the chief complaint of difficulty in breathing. The mother had noticed that about one and a

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