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October 1968

Differential Pulse Pressure: A Case Associated With Complete Interruption of the Aortic Arch With Taussig-Bing Malformation

Author Affiliations

Jackson, Miss
From the Heart Station, University of Mississippi Medical Center, Jackson, Miss. Doctor Pilapil is now with the Pediatric Service, US Naval Hospital, Portsmouth, Va.

Am J Dis Child. 1968;116(4):448-450. doi:10.1001/archpedi.1968.02100020452022

COMPLETE interruption of the aortic arch has been reviewed recently.1 Most cases had an associated patent ductus arteriosus (98%) or ventricular septal defects (93%), or both. A small percent had more complex malformations. In four instances (3.8%), origin of both great vessels from the right ventricle was found. We are reporting such a case in which the diastolic pressure was significantly lower in the leg than in the arm. This finding might suggest the diagnosis of interrupted aortic arch.

Report of a Case  The patient, a 4,445 gm (19 lb 12½ ounce) Negro male infant was delivered spontaneously to a gravida 4, para 3 diabetic mother after a term pregnancy. He had an Apgar score of 9 and normal physical findings.At age 3 days, he developed jaundice (lasting five days). On the next day, tachycardia, tachypnea, and poor feeding were noted. A chest x-ray film showed slight cardiomegaly,

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