Document Detail

Double-outlet right ventricle with left malposition of the great arteries and total anomalous pulmonary venous connection.
MedLine Citation:
PMID:  17444177     Owner:  NLM     Status:  MEDLINE    
The patient was diagnosed with double-outlet right ventricle with left malposition of the great arteries, total anomalous pulmonary venous connection, and pulmonary stenosis at 2 months of age. Because the progression of pulmonary venous obstruction was suspected at 2 years of age, the patient was catheterized and underwent a definitive repair. The patient had a right aortic arch and left juxtaposition of the atrial appendages; the intraventricular anatomy exhibits malalignment between the conal septum and the muscular intraventricular septum, and the conal septum is well developed and dextroposed, resulting in pulmonary obstruction and multiple ventricular septal defects (VSDs). Because a supracardiac type (Darling's type Ib) of total anomalous pulmonary venous connection was also combined with such an anomaly, total correction consisted of an anastomosis of the left atrium and the common pulmonary vein, creation of an intraventricular tunnel, direct closures of muscular VSDs, pulmonary valvotomy, and infundibular resection. To our knowledge, this is the first description of the successful surgical correction of this type of anomaly in one stage.
Masakuni Ishiyama; Hiromi Kurosawa; Toshiharu Shinoka; Yasuharu Imai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  55     ISSN:  1863-6705     ISO Abbreviation:  -     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-04-20     Completed Date:  2007-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  57-60     Citation Subset:  IM    
Division of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjyuku-ku, Tokyo, Japan.
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MeSH Terms
Abnormalities, Multiple* / surgery
Cardiopulmonary Bypass
Heart Defects, Congenital* / diagnosis,  surgery
Pulmonary Valve Stenosis / congenital,  diagnosis,  surgery
Pulmonary Veins / abnormalities*,  surgery
Pulmonary Veno-Occlusive Disease / congenital,  diagnosis,  surgery
Transposition of Great Vessels* / diagnosis,  surgery

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