. The heart and the aorta; studies in clinical radiology . ertion, etc. In a case which was examined, radiological investiga-tion confirmed the diagnosis, and determined an interest-ing detail, the significance of which already has been dis-cussed when congenital stenosis of the pulmonary arterywas considered, namely, dilatation of the vessel below thelesion. Carmen P., thirteen years of age, sickly and emaciated,of keen intelligence, but constrained to relative immo-bility, the least movement causing attacks of palpitationand dyspnoea. These disturbances appeared as soon asthe child began to
. The heart and the aorta; studies in clinical radiology . ertion, etc. In a case which was examined, radiological investiga-tion confirmed the diagnosis, and determined an interest-ing detail, the significance of which already has been dis-cussed when congenital stenosis of the pulmonary arterywas considered, namely, dilatation of the vessel below thelesion. Carmen P., thirteen years of age, sickly and emaciated,of keen intelligence, but constrained to relative immo-bility, the least movement causing attacks of palpitationand dyspnoea. These disturbances appeared as soon asthe child began to walk. Examination of the chest showsthe existence of forcible impulsive pulsations in the aorticregion. The pulsations of the aorta, perceptible in thesternal notch, are accompanied by an intense thrill. The orthodiagraphic tracing (Fig. 97) shows the leftcontour of the heart convex and elongated; the apex is CONGENITAL AFFECTIONS 133 rounded, depressed, pushed slightly outward. The rightcontour is not modified; only the left ventricle is
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