Document Detail


Double-outlet right atrium: anatomic and clinical considerations.
MedLine Citation:
PMID:  17257997     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Double-outlet right atrium (DORA) is a condition in which the right atrium empties into both ventricles. Described are the anatomic and clinical findings of this rare anomaly and our experience with its surgical treatment. METHODS: A retrospective review was conducted of all medical records and two-dimensional echocardiographic assessments, and the operative reports of patients with DORA were reexamined to identify the specific anatomic features and the relative adaptation of surgical technique. RESULTS: From January 1983 to November 2004, 12 patients with DORA underwent surgical treatment. The diagnosis was made in all cases by two-dimensional echocardiography. All patients had mild-to-moderate signs of arterial oxygen desaturation. All patients also had either a partial (n = 11) or a complete (n = 1) atrioventricular canal with or without other associated cardiac anomalies, including persistent left superior vena cava. Eleven patients survived the surgical repair, the only death occurred in a patient with Ellis Von-Creveld syndrome, with multiple skeletal malformations, severe chest hypoplasia, and respiratory distress. CONCLUSIONS: DORA is a rare and peculiar cardiac anomaly with well-defined characteristics. Its recognition, best achieved by two-dimensional echocardiography, is crucial for a good surgical correction.
Authors:
Gianluca Brancaccio; Antonio Amodeo; Gabriele Rinelli; Sergio Filippelli; Stephen P Sanders; Roberto M Di Donato
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  83     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-29     Completed Date:  2007-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  619-21     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital, Rome, Italy. gbrancaccio70@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple
Adolescent
Bone and Bones / abnormalities
Cardiac Surgical Procedures* / mortality
Child
Child, Preschool
Echocardiography*
Ellis-Van Creveld Syndrome / complications
Heart Atria
Heart Defects, Congenital / blood,  complications,  surgery*,  ultrasonography*
Humans
Infant
Medical Records
Oxygen / blood
Reoperation
Respiration Disorders / complications
Retrospective Studies
Thorax / abnormalities
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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