FAMILIAL VALVULAR PULMONIC STENOSIS INVOLVING THREE SIBLINGS.

This report describes the cases of three mentally and physically well-developed siblings, 12, 10, and 8 years of age, with varying degrees of isolated valvular pulmonic stenosis not related to age. The severest lesion occurred in the middle patient and was associated with a right-to-left shunt through a patent foramen ovale. The three children had no other siblings, and there was no history of congenital heart disease among close relatives.

ECHOCARDIOGRAPHIC FINDINGS IN BACTERIAL ENDOCARDITIS.

Fifteen echocardiographic recordings in nine patients with bacterial endocarditis revealed vegetations in six cases. The vegetations appeared as uneven, irregular thickening of a valve, a mass of shaggy, dense echoes attached to a leaflet or cusp, or a mass of irregular dense echoes in the cavity or outflow tract of the left ventricle. Such findings were seen only on the echocardiograms of very sick patients with severe valvular lesions.