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Concordant Atrioventricular Connection to L-Looped Ventricles with the Left Ventricle on Top of the Right Ventricle in Situs Solitus: A Case Report with 3D Modelling and Printing
Authors:Mi Kyoung Song  Gi Beom Kim  Woong Han Kim  Whal Lee  Eun-Jung Bae
Affiliation:1.Department of Pediatrics, Seoul National University Children’s Hospital, Seoul National University College of Medicine, Seoul, Korea2 Department of Thoracic and Cardiovascular Surgery, Seoul National University Children’s Hospital, Seoul, Korea3 Department of Radiology and the Institute of Radiation Medicine, Seoul National University Hospital, Seoul, Korea
Abstract:
We report the case of a rare complex cardiac anomaly involving situs solitus, concordant atrioventricular connection with left-hand ventricular topology, and L-looped ventricles. The ventricles had a superior-inferior relationship with an inferiorly located right ventricle, which had a double outlet with far posteriorly located great arteries. The left atrium was elongated, with juxta-positioned atrial appendages on the right side. The 3D-printed model using a computed tomography scan taken on the fourth day of birth demonstrated the anatomy clearly and helped us decide on the surgical management.
Keywords:Double outlet right ventricle  superior-inferior ventricle  L-looped ventricles  3D printing
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