Affiliation:
1. From the Department of Paediatrics, Cardiothoracic Institute, and Brompton Hospital, London, England, and Department of Pathology, Grimsby General Hospital, England.
Abstract
Two cases are described in which the systemic and pulmonary blood streams cross at atrioventricular level. One was examined pathologically, the other was diagnosed at cardiac catheterization by angiography. Both possessed situs solitus, but in one heart the right atrium was connected to a morphologic right ventricle on the left, whereas in the other it was connected to a left-sided morphologic left ventricle. In both cases transposition of the great arteries was present. The cases have been interpreted as representing rotation of embryonic d- and l-bulboventricular loops following septation.
In attempting to describe these heart difficulties in terminology were encountered which were partially overcome by combining the concepts of concordant and discordant atrioventricular relationships with those of transposition and malposition. However, to give an accurate interpretation of the hearts, it proved necessary to include a term indicating rotation of the bulboventricular loop following septation. Thus the hearts were described as situs solitus, discordant (d-rotated) loop with d-transposition, and situs solitus, concordant (l-rotated) loop with l-transposition.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Physiology (medical),Cardiology and Cardiovascular Medicine
Reference12 articles.
1. Isolated ventricular inversion
2. com.atypon.pdfplus.internal.model.plusxml.impl.AuthorGroup@16426af6
: Transposition of the great arteries. In Paediatric Cardiology edited by WATSON H. London Lloyd-Luke 1968 p 582
3. com.atypon.pdfplus.internal.model.plusxml.impl.AuthorGroup@127dece6
: Conotruncal Malformations. In Heart Disease in Infancy Diagnosis and Surgical Treatment edited by BARRATT-BOYES JM NEUTZE JM HARRIS EA. London Churchill-Livingston 1973 p 297
4. The segmental approach to diagnosis in congenital heart disease;Birth Defects: Original Article Series.,1972
5. The radiographic appearance of the tracheobronchial tree as an indicator of visceral situs
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