THE TETRALOGY OF FALLOT

Abstract
In 1888, forty years ago, Fallot1published an interesting, useful and complete description of a type of congenital heart disease that at times had been described previously but was quite neglected in its full significance. Though this condition is now recognized under his name as the tetralogy of Fallot, it is still much neglected and but little known. His article might well be reproduced in full as quite up to date in 1928. The tetralogy of Fallot consists of the most common grouping of congenital cardiac defects found in adults, namely, (1) pulmonic or infundibular stenosis; (2) interventricular septal defect; (3) dextroposition of the aorta, so that it overrides the septal defect and thus receives blood directly from the right as well as from the left ventricle, and (4) marked hypertrophy of the right ventricle. Clubbing of the fingers and cyanosis are invariably present. Life is usually short when

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