Document Detail


An appreciation of the structural variability in the components of the ventricular outlets in congenitally malformed hearts.
MedLine Citation:
PMID:  17321143     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The morphology of the outlet septum, the ventriculo-infundibular fold, the infundibulum and the septomarginal trabeculation has been well described. These structures are closely interrelated, such that variations in the morphology and orientation of any one of them inevitably affect the morphology and orientation of the others. In this review, we seek to clarify how these normal relationships change within the setting of congenitally malformed hearts. This is of immense surgical significance, since the surgical correction of many congenital cardiac malformations involves procedures on, or in the vicinity of, these structures. We provide an insight into how the appearance of the components of the ventricular outlets can vary with the underlying pathology. We first define the relevant structures and describe how their location can vary in different malformations. We will then describe how the variations in that interrelationship may result in malalignment and deviation of the outlet septum, emphasising the surgical implications of these specific features.
Authors:
Amir-Reza Hosseinpour; Timothy J Jones; David J Barron; William J Brawn; Robert H Anderson
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-02-23
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  31     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-09     Completed Date:  2007-07-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  888-93     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK. reza@hosseinpour.net
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MeSH Terms
Descriptor/Qualifier:
Cardiac Surgical Procedures / methods
Heart Defects, Congenital / pathology*,  surgery
Heart Septum / pathology,  surgery
Heart Ventricles / pathology,  surgery
Humans
Myocardium / pathology

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