Document Detail


Double-outlet right atrium with two atrioventricular valves and left atrial outlet atresia.
MedLine Citation:
PMID:  6693625     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In double-outlet atrium either the right or the left atrium empties into both ventricles while the other atrium remains disconnected from the ventricular cavities. Cases of double-outlet atrium with a single atrioventricular (AV) valve have been reported but no cases of double-outlet left atrium and only two of double-outlet right atrium (one with three valves) have been reported. A description of the second case of double-outlet right atrium with two AV valves and a review of the other reported case are presented. Common anatomic characteristics were: two AV valves in the right atrium that connected with two normal ventricles; disconnection of the left atrium from the ventricular cavities; an atrial septal defect in a malpositioned atrial septum; and drainage of a left superior vena cava into the left atrium. Mitral incompetence was found in both cases. Clinical findings were similar to those seen in ostium primum atrial septal defect. Two-dimensional echocardiography and angiocardiography are able to accurately demonstrate this entity. Successful surgical correction was performed in both cases. Two morphogenetic hypotheses are proposed: abnormal development of the septum primum or primitive malposition of the common atrioventricular canal.
Authors:
V M Pérez-Martínez; F García-Fernandez; J Oliver-Ruiz; L Nuñez-Gonzalez
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  3     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1984 Feb 
Date Detail:
Created Date:  1984-03-05     Completed Date:  1984-03-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  375-80     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Child
Echocardiography
Heart Atria / abnormalities
Heart Catheterization
Heart Defects, Congenital / pathology*,  surgery
Heart Septal Defects, Atrial / pathology
Heart Valves / abnormalities
Humans
Male
Vena Cava, Superior / abnormalities

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


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