Abstract

Transposition of the aorta and pulmonary artery is now more frequently diagnosed in life. It must be distinguished from Fallot's tetralogy because it is not helped by the Blalock-Taussig operation: indeed, the blood flow to the lungs is increased instead of reduced. This picture of pleonemic lungs can be recognized by radioscopy and indicates a left to right shunt; when combined with central cyanosis, complete or partial transposition is the most common cause. The general picture seen in 25 cases, in 6 of which the diagnosis was confirmed by cardiac catheterization and angiocardiography, is described. Two cases where the features of transposition were obscured by the presence of pulmonary stenosis are included.

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