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Czasopismo

2009 | 68 | 2 |

Tytuł artykułu

The double outlet right ventricle with additional cardiac malformations: an anatomic and echocardiographic study

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Double outlet right ventricle (DORV) is a complex group of abnormal ventriculoarterial connections where both the aorta and pulmonary artery rise from the right ventricle morphologically. It is a rare condition affecting 1–1.5% of patients with congenital heart disease. The patient’s cardiac measurements were taken by two-dimensional echocardiography. The pathological findings of the defined case are illustrated in the figures. A 20-year-old male patient with palpitations, tachypnea, and tiredness with weak exercise capacity and back pain was diagnosed with heart murmur in different degrees; slight cyanosis, cachexia, and developmental retardation were found clinically. Echocardiography showed: DORV, perimembranous ventricular septal defect, pulmonary stenosis, dilatated right ventricle, and dilatated left atrium. However, the left ventricle was normal. In addition, the septum interatriale filled the left atrium like an aneurysm. DORV is an important and rare congenital cardiac malformation. This complex condition may result in different clinical findings and require different therapeutic approaches. (Folia Morphol 2009; 68, 2: 104–108)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

68

Numer

2

Opis fizyczny

p.104-108,fig.,ref.

Twórcy

autor
  • 19 Mayis University Medical Faculty, Anatomy Samsun, Turkey
autor
  • Anatolian Hospital, Cardiology Samsun, Turkey
autor
  • 19 Mayis University Medical Faculty, Anatomy Samsun, Turkey
autor
  • 19 Mayis University Medical Faculty, Anatomy Samsun, Turkey
autor
  • 19 Mayis University Medical Faculty, Anatomy Samsun, Turkey

Bibliografia

  • 1. Alehan D, Haliloglu O (2003) Two-dimensional echocardiographic diagnosis of double outlet left ventricle with subaortic ventricular septal defect, pulmonary stenosis, and a hypoplastic left ventricle. J Am Soc Echocardiogr, 16: 91–93.
  • 2. Anderson RH, Becker AE (1983) Abnormal ventriculoarterial connexions. Cardiac pathology. An integrated text and colour atlas. 1st Ed. Churchill Livingstone, London.
  • 3. Aoki M, Forbess JM, Jonas RA, Mayer Jr JE, Castaneda A (1994) Result of biventricular repair for double outlet right ventricle. J Thorac Cardiovasc Surg, 107: 338–350.
  • 4. Berishvili II, Mitina IN, Ragimov FR (1992) Origin of the aorta and pulmonary artery from the right ventricle: anatomic and echocardiographic comparisons. Kardiologiia, 32: 61–64.
  • 5. Bitar FF, Kveselis DA, Smith FC, Byrum CJ (1998) Double-outlet right ventricle (tetralogy of Fallot type) associated with anomalous origin of left coronary artery from the right pulmonary artery: report of successful total repair in a 2-month-old infant. Pediatr Cardiol, 19: 361–362.
  • 6. De la Cruz MV, Cayre R, Aristo-Salado Martinez O, Sadowinski S, Serrano A (1992) The infundibular interrelationships and the ventriculoarterial connection in double outlet right ventricle. Clinical surgical implications. Int J Cardiol, 35: 153–164.
  • 7. DiSessa TG, Hagan AD, Pope C, Samtoy L, Friedman WF (1979) Two dimensional echocardiographic characteristics of double outlet right ventricle. Am J Cardiol, 44: 1146–1154.
  • 8. Duro AC, Carbonero DR, Garcia ML, Menchaca EP, Miranda JMG (2003) Criss-cross condiscordancia auriculoventricular, acabalgamiento de la valvula auriculoventricular derecha, doble salida del ventriculo derecho y preexcitacion. Anales de Pediatria Sabado, 59: 497–499.
  • 9. Hagler DJ, Tajik AJ, Seward JB, Mair DD, Ritter DG (1981) Double-outlet riht ventricle: wide-angle two dimensional echocardiographic observations. Circulation, 63: 419–428.
  • 10. Moore KL, Dalley AF (1999) Clinically oriented anatomy. 4th Ed. Lippincott Williams and Wilkins, Philadelphia, pp. 120–130.
  • 11. Moore KL, Persaud TVN (2004) The developing human: Clinically oriented embryology. 7th Ed. WB Saunders, Philadelphia, pp. 368–369.
  • 12. Peixoto LB, Leal SM, Silva CE, Moreira SM, Ortiz J (1999) Double outlet right ventricle with anterior and left-sided aorta and subpulmonary ventricular septal defect. Arq Bras Cardiol, 73: 441–450.
  • 13. Piot JD, Rey C, Touchot A, Serraf A (1997) Secondary subaortic obstruction after correction of double outlet right ventricle. Echocardiographic aspects and surgical findings. Arch Mal Coeur Vaiss, 90: 639–643.
  • 14. Standring S (2005) Gray’s anatomy. The anatomical basis of clinical practise. 39th Ed. Elsevier Churchill Livingstone, Edinburgh, London, New York, Oxford, Philadelphia, St. Louis, Sydney, Toronto.
  • 15. Vaseenon T, Zakheim RM, Park MK, Mattioli L, Diehl AM. (1979) Echocardiographic diagnosis of double-outlet right ventricle. Chest, 70: 362–366.

Typ dokumentu

Bibliografia

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