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Diagnostic and Surgical Problems

CAPT A. M. MARGILETH, MC; CDR L. M. FOX, MC

AMA Arch Surg. 1964;89(4):741-751.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Coarctation of the aorta is a potentially curable cause of hypertension which can be detected by a thorough history and a complete physical examination. In some patients, particularly infants, special studies are necessary, supplemental to chest x-rays and an electrocardiogram. Treatment depends on the patient's age and his symptoms, the severity of the coarctation, and the presence of associated cardiac defects.

A few of the unfamiliar and variable symptoms of congenital heart disease frequently observed in early infancy will be mentioned. McNamara¹ recently discussed the management of infants with heart failure and hypoxemia. The excellent results following surgical therapy² in those young infants after proper diagnosis of their congenital cardiac defects are admirable.

The purpose of this paper is to report our experiences with three unusual cases in a series of 22 patients with coarctation, and as a corollary to emphasize the need for early diagnosis and surgery . . . [Full Text PDF of this Article]

Author Affiliations
USN; USN

Chief of Pediatrics, United States Naval Hospital, National Naval Medical Center, Bethesda, Md (Captain Margileth); Chief of Cardiology (Dr. Fox).

Footnotes
Submitted for publication May 5, 1964.

The opinions or assertions contained herein are the private ones of the writers and are not to be construed as official nor as reflecting the views of the Bureau of Medicine and Surgery of the Navy Department, or the naval service at large.

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