Perloff's Clinical Recognition of Congenital Heart Disease

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Congenital anomalies of the coronary circulation

Historical Notes Coronary is derived from the Latin coronarius (pertaining to a crown) translated from the Greek stephanos (wreath) that refers to the crown-like or wreath-like arrangement of arteries that encircle the heart. This chapter deals with the coronary circulation—arterial…

Hypoplastic left heart

Historical Notes In 1952, Lev called attention to congenital hypoplasia of major components of the left side of the heart. In 1958, Noonan and Nadas referred to these malformations as the hypoplastic left heart syndrome . At the severe end…

Congenital pulmonary arteriovenous fistula

Historical Notes In 1897, the British Medical Journal published a necropsy description of congenital pulmonary arteriovenous fistulae and, four decades later, the anomaly was recognized in a living subject. In 1865, Babington called attention to familial epistaxis, and in 1876,…

Congenital anomalies of vena caval connection

Anomalous vena caval connections comprise a wide range of malformations that vary from minor to major, and that occur in isolation or with coexisting congenital heart disease. Persistent left superior vena cava occurs in 0.3% of the general population and…

Truncus arteriosus

Historical Notes Truncus arteriosus was recognized in 1798, and the clinical and necropsy findings were described in 1864. Humphreys summarized the reports up to 1932, and Lev and Saphir critically reviewed published accounts during the following decade. The malformation accounts…

Complete transposition of the great arteries

Historical Notes In 1797, Matthew Baillie called attention to “ a singular malformation in which the pulmonary artery arises from the left ventricle and the aorta from the right ventricle .” Seventeen years later, John Farre used the term transposition…

The univentricular heart

Historical Notes In 1858, Thomas Peacock described hearts in which: The auricular sinuses are separated by a more or less complete septum, and there are generally two auriculoventricular apertures, while the ventricle is either wholly undivided or presents only a…

Tricuspid atresia

Historical Notes Tricuspid atresia was described in 1817, but almost a century elapsed before the great arterial relationships were defined. Because of the morphologic heterogeneity of the malformation, “manifold anatomic combinations can result in this haemodynamic arrangement.” , Anatomical considerations…

Pulmonary atresia with intact ventricular septum

Historical Notes Thomas Peacock, in his first edition of Malformations of the Human Heart , wrote: … the orifice or trunk of the pulmonary artery is entirely impervious. A case of this description was described by John Hunter in 1783…