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December 1946


Author Affiliations

From the Children's Hospital Research Foundation and the Departments of Pediatrics and Pathology, University of Cincinnati College of Medicine, Cincinnati.

Am J Dis Child. 1946;72(6):675-690. doi:10.1001/archpedi.1946.02020350042004

AMONG the various anomalies of the coronary arteries, the type in which the left coronary artery arises from the pulmonary artery produces characteristic effects which may permit diagnosis during the lifetime of the patient. The 2 cases of this kind which are reported here are of interest because the relatively long period of observation made it possible to follow in detail the clinical course and the complications. Emphasis will be placed on some of the symptoms which have been mentioned before and on several pathologic changes which have not been reported previously.

REPORT OF CASES  Case 1.—Summary.—This patient had persistent symptoms of respiratory disease from the first week of life until the time of her death at the age of 6 months. The heart was greatly enlarged, and in the electrocardiogram the T waves in lead I were inverted. At autopsy a narrow left coronary artery was found

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