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Chest, Vol 72, 245-247, Copyright © 1977 by American College of Chest Physicians

ARTICLES

Atypical radiographic findings in neonates with absent pulmonary valve and tetralogy of Fallot

RR Wolfe, MM Smothermon, VN Miles, R Wesenberg and JJ Nora

At birth, three infants had typical to-and-fro murmurs and laboratory features suggesting tetralogy of Fallot with absent pulmonary valve. Initial posteroanterior chest x-ray films were atypical for the condition because of the apparent absence of dilation of the proximal pulmonary arterial tree. Lateral chest x-ray films invariably demonstrated a large hilar mass. Radiographic findings on the posteroanterior chest x-ray film considered pathognomonic for the complex lesion may not evolve until later during the first year of life.




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Copyright © 1977 by the American College of Chest Physicians.