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Clinical criteria including cardiomegaly, pulmonary conus size, and an apical diastolic murmur have been suggested to differentiate atrial septal defect with mitral valvulitis from isolated defects.
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Highlights clinical and catheterization criteria for differentiating atrial septal defect with mitral valvulitis from isolated septal defect.
Article1 June 1958ATRIAL SEPTAL DEFECT WITH MITRAL VALVULITIS: CLINICAL AND CATHETERIZATION DIAGNOSISFOUAD A. BASHOUR, M.D., DANIEL H. SIMMONS, M.D.FOUAD A. BASHOUR, M.D., DANIEL H. SIMMONS, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-6-1194 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCriteria for the clinical differentiation of atrial septal defect in combination with mitral valvular disease from isolated septal defect have been suggested, based upon the degree of cardiomegaly and the size of the pulmonary conus.1, 2The presence of a low-pitched rumbling apical diastolic murmur, presumably due to mitral valvular disease, has also been thought to be diagnostic of the combined lesion in cases in which the diagnosis of atrial septal defect had been established physiologically. This attitude was fostered by early studies of the autopsied cases of atrial septal defect reported in the literature which indicated a high incidence...Bibliography1. McGinnWhite SPD: Interauricular septal defect associated with mitral stenosis, Am. Heart J. 9: 1, 1933. CrossrefGoogle Scholar2. Roesler H: Interatrial septal defect, Arch. Int. Med. 54: 339, 1934. CrossrefGoogle Scholar3. NadasAlimurung ASMM: Apical diastolic murmurs in congenital heart disease: the rarity of Lutembacher's syndrome, Am. Heart J. 43: 691, 1952. CrossrefMedlineGoogle Scholar4. Baronovsky I: Personal communication. Google Scholar5. BarberMagidsonWood JMOP: Atrial septal defect, Brit. Heart J. 12: 277, 1950. CrossrefMedlineGoogle Scholar6. BrannonWeensWarren ESHSJV: Atrial septal defect: study of hemodynamics by the technique of right heart catheterization, Am. J. M. Sc. 210: 480, 1945. CrossrefGoogle Scholar7. CosbyGriffithZinnLevinsonDimitroffOblathJacobson RSGCWJDCSPRWG: Cardiac catheterization in interatrial septal defect, Am. J. Med. 14: 4, 1953. CrossrefMedlineGoogle Scholar8. DexterHaynesBurwellEppingerSosmanEvans LFWCSECMCJM: Studies of congenital heart disease. III. Venous catheterization as a diagnostic aid in patent ductus arteriosus, tetralogy of Fallot, ventricular septal defect, and auricular septal defect, J. Clin. Investigation 26: 561, 1947. CrossrefGoogle Scholar9. Hickam JB: Atrial septal defect. A study of intracardiac shunts, ventricular outputs, and pulmonary pressure gradient, Am. Heart J. 38: 801, 1949. CrossrefMedlineGoogle Scholar10. CalazelGerardDalyDraperFosterBing PRRAJRJ: Physiological studies in congenital heart disease. XI. A comparison of the right and left auricular capillary and pulmonary artery pressures in nine patients with auricular septal defect, Am. Heart J. 46: 352, 1953. MedlineGoogle Scholar11. ChapmanFraser CBR: Clinical and hemodynamic features of uncomplicated interatrial defect in adults, Am. Heart J. 46: 352, 1953. CrossrefMedlineGoogle Scholar12. LewisTaufic FJM: Closure of atrial septal defects with the aid of hypothermia: experimental accomplishments and the report of one successful case, Surgery 33: 52, 1953. MedlineGoogle Scholar13. BashourWinchell FAP: Hemodynamic studies before and after closure of atrial septal defect, to be published. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: FOUAD A. BASHOUR, M.D.; DANIEL H. SIMMONS, M.D.*Received for publication February 11, 1957.From the Department of Medicine, Variety Club Heart Hospital and University of Minnesota Hospitals, Minneapolis, Minnesota.Requests for reprints should be addressed to Paul Winchell, M. D., Department of Medicine, University of Minnesota Hospitals, Minneapolis 14, Minnesota. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 June 1958Volume 48, Issue 6Page: 194-1204KeywordsAtrial septal defectCatheterizationCathetersHeartHospital medicineLesionsPulmonary diseasesRespiratory physiologyValvular diseases ePublished: 1 December 2008 Issue Published: 1 June 1958 PDF downloadLoading ...
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Bashour et al. (1958) conducted a review in Atrial septal defect with mitral valvulitis. Clinical and catheterization diagnosis was evaluated. Clinical criteria including cardiomegaly, pulmonary conus size, and an apical diastolic murmur have been suggested to differentiate atrial septal defect with mitral valvulitis from isolated defects.
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