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March 1977

Children With Congenital Intracardiac Defects

Arch Surg. 1977;112(3):349. doi:10.1001/archsurg.1977.01370030121031

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This 266-page atlas is divided into two parts. The first section provides an overall view of the changes in somatic growth, neurologic status, and psychological and psychiatric development of more than 300 children who underwent cardiac surgery between 1962 and 1967. In the second part of the book, data on 33 patients are presented in an atlas format, giving details of physical findings, laboratory procedures, and growth patterns, as well as neurological, psychological, and psychiatric observations.

Anthropometric comparisons between boys and girls within broad categories of 1 to 9 and 9 to 10 years of age showed growth lag and delay of skeletal maturation in the preoperative patient. Although patients within the diagnostic subgroups of semilunar valve stenosis, left-to-right shunts, and right-to-left shunts were shown to have similar growth patterns, no attempt was made to correlate growth with the presence or degree of cyanosis or congestive heart failure or both.

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