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ARTICLE |

COARCTATION OF THE AORTA

HERBERT D. ADAMS, M.D.; DAVID I. RUTLEDGE, M.D.; CARLTON R. SOUDERS, M.D.
JAMA. 1949;139(6):362-365. doi:10.1001/jama.1949.02900230016005.
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The examination of a large proportion of the youths of this country by the various examiners of the selective service boards resulted in a considerable number of rejections for military service because of persistent elevation of the blood pressure. Many of these persons were advised to consult their family physicians for advice and treatment. A small but important percentage of them are suffering from coarctation of the aorta. The prognosis in the past for patients with coarctation of the aorta has been poor because of the propensity of the condition to result in heart failure, rupture of the aorta above the coarctation, cerebrovascular accident or subacute bacterial endocarditis. The recent development of a surgical technic for correcting this anomaly, which when untreated results in such a limited life expectancy, makes it imperative that all physicians be alert to the possibility of this condition when confronted with hypertension in a young

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