Word: fallot
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Dates: during 1960-1969
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...date endorsement of old-fashioned observation. When a patient has hands with swollen-tipped, "clubbed" fingers, and if there is also reddish-brown coloration to the skin at the base of the nails, says Dr. Berry, the man is suffering from cyanotic heart disease. "Blue babies" (with Fallot's tetralogy) develop similar signs, but when surgery has sealed the leak between the right and left sides of the heart, the clubbing and the discoloration dramatically disappear. If the pigmentation is not present, the spatulate fingers are usually due to lung disease...
There are, in fact, only three malformations: instead of arising only from the left ventricle, the aorta has outlets from each ventricle; the pulmonary artery or valve is narrowed; there is a hole in the wall between the ventricles. What Fallot thought was a fourth malformation, enlargement of the right ventricle, is a result of these three. It subsides when they are corrected. Youngest of three noted brothers, sons of Minneapolis Dentist C. I. Lillehei (still active in practice at 70): Heart Surgeon C. Walton Lillehei is 44; James, 38, specializes in lung physiology; Surgeon Richard...
...Fifth Anomaly. Most blue babies, so called from the color of their fingertips and lips, suffer from a set of four inborn defects in the heart and arteries, known as Fallot's tetralogy. The effect is to recirculate much blood from which oxygen has been naturally removed in the veins, and send only part of it to the lungs for re-oxygenation. The Taussig-Blalock operation, devised years before open-heart surgery with a heart-lung machine became possible, is a compromise: it consists of purposely creating a fifth defect-a connection from the aorta to the pulmonary artery...