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Previous Volume 334:57-58 January 4, 1996 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In his excellent commentary (Clinical Problem-Solving, Sept. 7 issue),¹ Dr. Thibault is rightfully surprised that the "mitral stenosis [was] masquerading as pneumonia!" A diagnosis of mitral stenosis could have been made in the emergency room on admission if the physicians had paid more attention to the chest film, because it shows a typical mitral configuration of the heart. There are typical signs of mitralization of the left heart border: the main pulmonary-artery segment is prominent, and the left atrial appendage is bulging. There are also other characteristic signs, including enlargement of the left atrium, a small aortic . . . [Full Text of this Article]

References

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• Attie, F., Rosas, M., Granados, N., Zabal, C., Buendia, A., Calderon, J. (2001). Surgical treatment for secundum atrial septal defects in patients >40 years old: A randomized clinical trial. J Am Coll Cardiol 38: 2035-2042 [Abstract] [Full Text]  
• Gatzoulis, M. A., Freeman, M. A., Siu, S. C., Webb, G. D., Harris, L. (1999). Atrial Arrhythmia after Surgical Closure of Atrial Septal Defects in Adults. NEJM 340: 839-846 [Abstract] [Full Text]