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February 1958

Congenital Aortic Stenosis in Young Children: With Special Reference to Phonocardiography and Indirect Tracings of the Arterial Pulse

Author Affiliations

Amsterdam, Netherlands
From the Pediatric Department of the University of Amsterdam; Head, Prof. Dr. S. van Creveld.

AMA Am J Dis Child. 1958;95(2):170-177. doi:10.1001/archpedi.1958.02060050172010

Introduction  The diagnosis of congenital aortic stenosis in children can be missed easily. Many of the symptoms indicating aortic stenosis in an adult, like dyspnea on exertion, dizziness with occasional syncope, or left ventricular hypertrophy, were not present in most of our patients. In childhood incipient or moderate forms of aortic valvular disease prevail.Several authors1-4 have stressed the importance of tracings of the arterial pulse wave, taken from the brachial or carotid artery. We feel that direct tracings obtained by puncture of a main artery cannot be performed routinely because of the discomfort to the child. Moreover, the tracings from the brachial or radial artery are likely to be less typical than those from the carotid artery, which is closer to the aortic valves. Also, curves derived from the arterial wall may give more information in valvular aortic stenosis than tracings of the intraluminar pressure (Fig. 1). For

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