Orginal Publication Date
MCV/Q, Medical College of Virginia Quarterly
The importance of precise anatomic and physiologic diagnosis in congenital heart disease has been emphasized in recent years, because of the increasing possibilities of surgical correction. The x-ray examination is a powerful tool in the evaluation of patients with congenital heart disease. A method of evaluation is presented, using conventional roentgenographic and fluoroscopic examination along with other simple clinical methods. This approach is relatively simple, can be carried out as an office procedure, and yields a firm clinical diagnosis in the majority of cases. Cardiac catheterization and selective angiocardiography may be necessary to give precise information on physiological abnormalities and anatomic defects. These techniques require expensive equipment and a team of physicians. The challenge of accurate diagnosis in these common anomalies is great. The potential reward, in terms of restoring a normal life span, is also great. An aggressive approach to a correct diagnosis is urged.
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