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Coarctation of the aorta is one of the least common congenital cardiac anomalies. Two distinct types have been described, which probably differ in etiology as well as in clinical manifestations. 1. A diffuse narrowing of the aorta at the isthmus, that is, that part of the vessel which lies between the left subclavian artery and the insertion of the ductus arteriosus. This condition is probably congenital, and is due to arrested development resulting in failure of the vessel to attain normal size. Of 198 cases of coarctation of the aorta collected by Abbott1 in 1908, sixty-eight were of this congenital type, and of these sixty-one died within the first year of life. These cases were very frequently associated with grave congenital defects, such as patent septums, transposition of the great vessels or pulmonic stenosis. In 66 per cent, the ductus arteriosus remained patent. The case reported here is of
American journal of diseases of children – American Medical Association
Published: Feb 1, 1926
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