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American Journal of Roentgenology, Vol 100, 312-317, Copyright © 1967 by American Roentgen Ray Society


ANGIOCARDIOGRAPHIC DIFFERENTIATION BETWEEN FALLOT'S PULMONARY ATRESIA AND TYPE IV PERSISTENT TRUNCUS ARTERIOSUS

DAVID C. GLEASON M.D.1, THOMAS FERGUSON M.D.2, ALEXIS F. HARTMANN Jr. M.D.3, and LARRY P. ELLIOTT M.D.4

1 Instructor of Radiology
2 Associate Professor of Thoracic and Cardiovascular Surgery
3 Assistant Professor of Pediatrics
4 Associate Professor of Radiology

It is important to distinguish between Fallot's pulmonary atresia and Type IV truncus arteriosus since Fallot's pulmonary atresia is an operable lesion, whereas persistent truncus arteriosus is considered inoperable. Angiocardiographically, this differentiation can be made as there is a right ventricular infundibular chamber with Fallot's pulmonary atresia, and complete absence of the infundibulum in Type IV truncus arteriosus.


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