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January 1959

The Persistent Ostium Primum Atrial Septal Defect

Author Affiliations

Albany, N. Y.
From the Department of Medicine and Sub-department of Cardiology of Albany Hospital, Albany, N. Y. This work was carried out while Dr. Forrest was a trainee of the National Heart Institute, National Institutes of Health.

AMA Am J Dis Child. 1959;97(1):42-47. doi:10.1001/archpedi.1959.02070010044002

Recent advances in the treatment of congenital heart disease have been made possible by the concomitant development of more accurate diagnostic techniques. Without this progress in clinical cardiology the ability and skill of the cardiac surgeon would frequently become wasted on useless exploratory operations.

The purpose of this article is to illustrate how an anatomical variation of a relatively common and easily reparable congenital heart lesion1,2 may be suspected preoperatively and treatment planned accordingly.

In 1956 Blount and his associates published their experience with the ostium primum atrial septal defect and pointed out how this lesion might be recognized clinically.3 Since that time I have seen two cases of ostium primum type of defect confirmed at surgery which were suspected prior to operation on the basis of criteria outlined by Blount.3 A third case of ostium primum defect of a slightly different variety, more properly referred to

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