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SYMPTOMS IN CONGENITAL LESIONS OF THE HEART THAT PERMIT VENOUS SHUNTING

CLIFTON BRIGGS LEECH, M.D.
Am J Dis Child. 1932;43(5_PART_I):1086-1091. doi:10.1001/archpedi.1932.01950050038004.
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Among eighty-two instances of congenital heart disease collected from the Johns Hopkins Hospital autopsy records, there were sixty-two of such a nature as to permit a direct admixture of venous with arterial blood through an abnormal communication within the heart or great vessels. A flow of blood from the right to the left side of the heart through such a defect is designated as a venous shunt. The venous shunt types of defects in these patients were usually associated with other congenital lesions of the heart. The following summary of the lesions shown in these sixty-two patients does not include the complicating abnormalities:

The clinical records of these patients were studied in an attempt to determine whether such abnormal communications between the venous and arterial circulations produced characteristic symptoms and signs. It must be stated here that a number of the instances of patent ductus arteriosus were in

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