Document Detail


Recognition of imperforate atrioventricular valves by two dimensional echocardiography.
MedLine Citation:
PMID:  7066117     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The majority of hearts in which selective right or left atrial angiography shows no direct communication between one atrium and a ventricular chamber are considered to be examples of atresia of the right or left atrioventricular valves. Most patients presenting with the clinical features of tricuspid atresia have an absent right atrioventricular connection, while those with features of mitral atresia and a normal aortic root frequently have an absent left atrioventricular connection. By studying 67 patients using two dimensional echocardiography we have identified 12 in whom there was an imperforate atrioventricular valve and not an absent atrioventricular connection. Thus, in 44 hearts with the angiographic features of tricuspid atresia, 36 had absence of the right atrioventricular connection and six had an imperforate right atrioventricular valve. In the latter, four were examples of atrioventricular concordance and two were univentricular hearts of left ventricular morphology in which the mode of atrioventricular connection was through one perforate and one imperforate valve. Similarly, 17 out of 23 cases of mitral atresia had absence of the left atrioventricular connection. The remaining six had an imperforate left atrioventricular valve which was associated with atrioventricular concordance in two patients and with double inlet univentricular heats in four patients.
Authors:
M L Rigby; D G Gibson; M C Joseph; J C Lincoln; E A Shinebourne; D F Shore; R H Anderson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  47     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1982 Apr 
Date Detail:
Created Date:  1982-06-21     Completed Date:  1982-06-21     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  329-36     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Diagnosis, Differential
Echocardiography
Humans
Infant
Infant, Newborn
Mitral Valve / abnormalities*
Tricuspid Valve / abnormalities*
Comments/Corrections

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