Abstract
A patient is described in whom a severe form of the tetralogy of Fallot was complicated by rheumatic stenosis of the aortic valve. These diagnoses were established by the clinical findings and the results of right and left heart catheterization and selective angiocardiography. An aortic valvulotomy and subclavian-pulmonary anastomosis were carried out, but the patient died in the immediate postoperative period. The pathologic findings are described and a discussion of the hemodynamic alterations which accompanied this unusual combination of defects is presented.
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