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A Clinical Diagnosis

Daniel L. Levin, MD; Milton H. Paul, MD; Alexander J. Muster, MD; Edgar A. Newfeld, MD; J. Deane Waldman, MD

Arch Intern Med. 1977;137(10):1421-1425.

Abstract
We reviewed the records of 66 neonatal patients with d-transposition of the great vessels (d-TGV) admitted to our institution. The initial history, physical examination by the cardiologist, chest roentgenogram, ECG, hemoglobin level, and hematocrit value were analyzed. Although all patients were cyanotic and 65% were tachypneic, other signs of a major congenital cardiac anomaly were usually absent. The number of clinical signs (poor general status, cyanosis, respiratory distress, S_increased and single, murmur, classical chest roentgenogram, abnormal ECG) present in each patient was three or less in 41%; only 13.5% had more than five signs.

(Arch Intern Med 137:1421-1425, 1977)

Author Affiliations
From the Division of Cardiology, Willis J. Potts Children's Heart Center, Children's Memorial Hospital, Department of Pediatrics, Northwestern University McGaw Medical Center, Chicago. Dr Levin is now with the Department of Pediatrics, University of Texas Health Science Center at Dallas, Southwestern Medical School.

Footnotes
Accepted for publication Nov 1, 1976.

Reprint requests to Department of Pediatrics, University of Texas Health Science Center at Dallas, Southwestern Medical School, 5323 Harry Hines Blvd, Dallas, TX 75235 (Dr Levin).

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