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June 1950

Morbus Caeruleus: An Analysis of 114 Cases of Congenital Heart Disease with Cyanosis.

Am J Dis Child. 1950;79(6):1152. doi:10.1001/archpedi.1950.04040011171025

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This study represents an interesting and intensive analysis of 114 cases of cyanotic congenital heart disease. In logical sequence the embryology, case material, general examination of the patient, roentgenologic diagnosis, angiocardiography, electrocardiographic studies, fluorescein circulation time, heart tolerance tests and cardiac catheterization are discussed, along with pertinent references to the literature.

Since surgical relief for tetralogy of Fallot is now possible, the authors emphasized this condition. Sixty-one patients, or 53 per cent of the 114 cases, were considered to have the tetralogy of Fallot. A history of squatting was elicited in 81.6 per cent of these patients. The onset of cyanosis occurred in 80 per cent before the age of 2 years. A right aortic arch was present in 19 per cent of the patients with tetralogy of Fallot. The indications for surgical treatment, the preoperative care and the relative merits of Blalock-Taussig and Potts-Smith procedures are discussed. Operations were

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