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(Chest. 1968;54:240-242.)
© 1968 American College of Chest Physicians

An Unusual Case of Cyanotic Heart Disease

Atrial Septal Defect with Acquired Tricuspid Insufficiency

Robert G. Fish M.D.1; Stewart M. Scott M.D.1; John T. Joyner III M.D.1; and William M. Nelson M.D.1

1 Medical Service and Cardiovascular Surgical Section, Veterans Administration Hospital, Oteen, North Carolina

A rare case of tricuspid insufficiency due to bacterial endocarditis in association with a previously asymptomatic atrial septal defect is presented. Intense cyanosis, polycythemia and clubbing of digits were the major presenting clinical features. The classic physical findings of tricuspid insufficiency were not present. Hemodynamic data, blood gas analysis, and cine-angiographic studies are included. Surgical correction of the cardiac defects was successful.






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Copyright © 1968 by the American College of Chest Physicians.