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ANGIOCARDIOGRAPHY IN DIAGNOSIS OF CONGENITAL HEART DISEASE IN INFANCY AND CHILDHOOD FREE

Israel Steinberg, M.D.
[+] Author Affiliations

Read in the Symposium on Pediatric Cardiology before the Joint Meeting of the Section on Diseases of the Chest and the Section on General Practice at the 107th Annual Meeting of the American Medical Association, San Francisco, June 27, 1958.


New York

From the departments of radiology and medicine, the New York Hospital—Cornell Medical Center, New York, and the St. Francis Hospital and Sanatorium, Roslyn, N. Y.


JAMA. 1959;170(7):772-780. doi:10.1001/jama.1959.03010070012004
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Congenital anomalies of the heart exist in great variety, and no single diagnostic procedure suffices for differential diagnosis among them. Angiocardiography depends on making a rapid serial roentgenographic study of the heart and great vessels after a timed intravenous injection of radiopaque contrast substance. Its results in various types of malformation are described. It is not necessary in every case, and it is not always sufficient to settle the diagnosis. The patients who undergo angiocardiography have serious circulatory handicaps, yet there has been only one fatality during the procedure in more than 1,500 infants and children. When it offers the prospect of clarifying a diagnosis and deciding whether a case is operable, the risk involved in angiocardiography is less than the risks of not treating or incorrectly treating congenital heart disease.

REFERENCES

Robb, G. P., and Steinberg, I.:  Visualization of Chambers of Heart, Pulmonary Circulation, and Great Blood Vessels in Man: Practical Method , Am. J. Roentgenol. 41:1-17 ( (Jan.) ) 1939;.
Dotter, C. T., and Steinberg, I.: Angiocardiography, Annals of Roentgenology , Series of Monographic Atlases, vol. 20, New York, Paul B. Hoeber, Inc. (medical book department of Harper & Brothers), 1951;.
Steinberg, I.; Dubilier, W.; and Evans, J. A.:  New 12 by 12-Inch Roll Film Magazine for Rapid Serial Roentgenography , Radiology 65:276-280 ( (Aug.) ) 1955;.
Arvidsson, H.; Karnell, J.; and Möller, T.:  Multiple Stenosis of Pulmonary Arteries Associated with Pulmonary Hypertension, Diagnosed by Selective Angiocardiography , Acta radiol. 44:209-216 ( (Sept.) ) 1955;.
Ferencz, C.; Johnson, A. L.; and Wiglesworth, F. W.:  Congenital Mitral Stenosis , Circulation 9:161-179 ( (Feb.) ) 1954;.
Lukas, D. S.; Araujo, J.; and Steinberg, I.:  Syndrome of Patent Ductus Arteriosus with Reversal of Flow , Am. J. Med. 17:298-310 ( (Sept.) ) 1954;.
Kjellberg, S. R.; Mannheimer, E.; Rudhe, U.; and Jonsson, B.: Diagnosis of Congenital Heart Disease , Chicago, Year Book Publishers, Inc., 1955;.
Dotter, C. T., and Steinberg, I.:  Angiocardiography in Congenital Heart Disease , Am. J. Med. 12:219-237 ( (Feb.) ) 1952;.
Steinberg, I.:  Congenital Absence of Main Branch of Pulmonary Artery: Report of 3 New Cases Associated Respectively with Bronchiectasis, Atrial Septal Defect and Eisenmenger's Complex , Am. J. Med. 24:559-567 ( (April) ) 1958;.
Steinberg, I., and Finby, N.:  Clinical Manifestations of Unperforated Aortic Sinus Aneurysm , Circulation 14:115-124 ( (July) ) 1956;.
Steinberg, I.; Mangiardi, J. L.; and Noble, W. J.:  Aneurysmal Dilatation of Aortic Sinuses in Marfan's Syndrome: Angiocardiographic and Cardiac Catheterization Studies in Identical Twins , Circulation 16:368-373 ( (Sept.) ) 1957;.
Sepulveda, G.; Lukas, D. S.; and Steinberg, I.:  Anomalous Drainage of Pulmonary Veins: Clinical, Physiologic and Angiocardiographic Features , Am. J. Med. 18:883-899 ( (June) ) 1955;.

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Robb, G. P., and Steinberg, I.:  Visualization of Chambers of Heart, Pulmonary Circulation, and Great Blood Vessels in Man: Practical Method , Am. J. Roentgenol. 41:1-17 ( (Jan.) ) 1939;.
Dotter, C. T., and Steinberg, I.: Angiocardiography, Annals of Roentgenology , Series of Monographic Atlases, vol. 20, New York, Paul B. Hoeber, Inc. (medical book department of Harper & Brothers), 1951;.
Steinberg, I.; Dubilier, W.; and Evans, J. A.:  New 12 by 12-Inch Roll Film Magazine for Rapid Serial Roentgenography , Radiology 65:276-280 ( (Aug.) ) 1955;.
Arvidsson, H.; Karnell, J.; and Möller, T.:  Multiple Stenosis of Pulmonary Arteries Associated with Pulmonary Hypertension, Diagnosed by Selective Angiocardiography , Acta radiol. 44:209-216 ( (Sept.) ) 1955;.
Ferencz, C.; Johnson, A. L.; and Wiglesworth, F. W.:  Congenital Mitral Stenosis , Circulation 9:161-179 ( (Feb.) ) 1954;.
Lukas, D. S.; Araujo, J.; and Steinberg, I.:  Syndrome of Patent Ductus Arteriosus with Reversal of Flow , Am. J. Med. 17:298-310 ( (Sept.) ) 1954;.
Kjellberg, S. R.; Mannheimer, E.; Rudhe, U.; and Jonsson, B.: Diagnosis of Congenital Heart Disease , Chicago, Year Book Publishers, Inc., 1955;.
Dotter, C. T., and Steinberg, I.:  Angiocardiography in Congenital Heart Disease , Am. J. Med. 12:219-237 ( (Feb.) ) 1952;.
Steinberg, I.:  Congenital Absence of Main Branch of Pulmonary Artery: Report of 3 New Cases Associated Respectively with Bronchiectasis, Atrial Septal Defect and Eisenmenger's Complex , Am. J. Med. 24:559-567 ( (April) ) 1958;.
Steinberg, I., and Finby, N.:  Clinical Manifestations of Unperforated Aortic Sinus Aneurysm , Circulation 14:115-124 ( (July) ) 1956;.
Steinberg, I.; Mangiardi, J. L.; and Noble, W. J.:  Aneurysmal Dilatation of Aortic Sinuses in Marfan's Syndrome: Angiocardiographic and Cardiac Catheterization Studies in Identical Twins , Circulation 16:368-373 ( (Sept.) ) 1957;.
Sepulveda, G.; Lukas, D. S.; and Steinberg, I.:  Anomalous Drainage of Pulmonary Veins: Clinical, Physiologic and Angiocardiographic Features , Am. J. Med. 18:883-899 ( (June) ) 1955;.
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