To the Editor: Dr. Friedman's letter comprises five points which I will repeat in the order of their appearance along with my comments.
This syndrome is "relatively common."
If one counts the reported cases of this syndrome among other types of congenital anomalies or even among the cardiovascular malformations, one would find it infrequent or, as I expressed, rare, rather than relatively common; but, of course, when compared with other clinically recognizable supravalvular aortic lesions, it is not rare. The latter method of comparison, in my belief, is not correct. Moreover, the use of simpler and more accurate words is preferred to the combined terms or to the expressions with vague boundaries, such as "relatively common," "a large number," or "widespread geographical distribution" which are used in the same paragraph by the commentator.
It was incorrect to state that there was no reported case below the age of