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Chest, Vol 67, 603-606, Copyright © 1975 by American College of Chest Physicians

ARTICLES

Pulmonary atresia with ventricular septal defect: report of the oldest known surviving case

TC Smitherman, AA Nimetz and AL Friedlich

The case of a 54-year-old housewife, oldest published survivor with pulmonary atresia and a ventricular septal defect (pseudotruncus arteriosus), is reported. Her remarkably favorable course is likely related to the absence of progressive hemodynamic changes, with moderate pulmonary flow adequate for nearly normal arterial oxygenation yet without increasing pulmonary vascular resistance. This case reemphasizes the relationship of longevity to pulmonary blood flow volume with this defect.




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Copyright © 1975 by the American College of Chest Physicians.