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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…”

From: Jensen.

“It is with greatest mortification that I have to write you and tell you that the condition about which I wrote to you in my previous letter was a mistake…”

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…”

From: Gross

Description of two photos of a heart of a 5-day old infant [enclosed]. “The ductus arteriosus was fully as large as the aorta, which in turn was of normal caliber. The left ventricle was extremely small and the covering endocardium markedly thick, opaque…”

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