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Maude Abbott Collection Item
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Arthur, R. Abel. – Orange Memorial Hospital, New Jersey

“Recently a congenital anomaly found at autopsy was described to me. Since the heart was not removed I can only describe the findings. The infant which was cyanotic at birth, breathed with great difficulty and died within twenty-four hours with signs of cardiac failure. At autopsy the heart muscle was congested and the heart itself was moderately dilated…the only abnormal finding was in the pulmonary artery where above each sinus of valsalva there was a long narrow slit extending cleanly through the wall of the pulmonary artery…”

Albright, Fuller. – Massachusetts Gen. Hospital, Boston

“I recently had a case of right-sided arch of the aorta with esophageal obstruction. I found a case in the German literature, which seems identical with my case, in which the obstruction was apparently due to the right subclavian artery passing behind the esophagus. Have you any cases in your museum which illustrate this point?”

Reply to Albright

“Regarding your case of right aortic artery arch, I might say that while an anomalous right subclavian artery does cause oesophageal obstruction, which is not commonly associated with right aortic arch, and unless you have some definite reason to suspect this combination, I think the obstruction is more likely to be cause by the obliterated ligamentum arteriosum which passes from the right arch to the left pulmonary artery behind the oesophagus and trachea, and has been known to cause obstruction in a number of cases…”

Allen, Jr., Fred H. – Newton Center, Mass

Correspondence between Abbott and Allen related to his first year thesis at Harvard University. He requires bibliographic references to similar cases for his paper. “I have a heart of which was removed at autopsy from a child of seven months old who died of the heart condition, and I am planning to write it up for the thesis. The heart shows defect of the interventricular septum at the membranous portion; pulmonary atresia; and small patent foramen ovale. It is my plan to attempt an embryological explanation of the condition, and I must procure my data from ‘original’ publications…”

Reply to Abel.

“I know of no instance in which such slit-like openings have been observed in the pulmonary artery in this situation. The first idea that
presents itself is this might be artifacts produced accidentally…”

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