Murmurs erroneously attributed to congenital intracardiac shunts

Abstract

Eight clinical patients, followed up for several years and presenting loud murmurs or other auscultatory, electrocardiographic or roentgenologic abnormalities, were erroneously diagnosed as having congenital intracardiac shunts. Subsequent studies, including right heart catheterization in all, intracardiac phonocardiography in five, and autopsy in one, failed to disclose congenital shunts. Fibroelastosis of the left heart existed in one. Tentative, although not completely proved diagnoses, are presented for some of the others.