Document Detail


The surgical anatomy of ventricular septal defects with univentricular atrioventricular connection.
MedLine Citation:
PMID:  7949669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hearts that do not possess one-to-one connections at the segmental junctions almost always produce a univentricular atrioventricular connection. One ventricle is usually large and dominant and the other small, lacking one or two of its components. The ventricular septal deficiency forms part of the circulatory pathway. We take the stance that only hearts that possess a truly solitary ventricular chamber are univentricular. They cannot have a ventricular septal defect, and so are excluded from this study. This review, therefore, is concerned with the morphology of septal defects in hearts in which both atrioventricular junctions are connected exclusively to a dominant left or a dominant right ventricle, and those lacking one atrioventricular connection, where the remaining valve is connected to a dominant ventricle. This morphology in the absence of one atrioventricular connection can be modified when there is overriding of the solitary atrioventricular valve. The ventricular septal defects are analyzed and categorized for the various groups, and the position of the conduction axis is described for the well-recognized entities.
Authors:
R H Anderson; S Y Ho; B R Wilcox
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  9     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-12-09     Completed Date:  1994-12-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  408-26     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, National Heart and Lung Institute, Royal Brompton Hospital, London, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Heart Atria / abnormalities*
Heart Septal Defects, Ventricular / classification,  pathology*,  surgery
Heart Ventricles / abnormalities*
Humans

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


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