Complex cyanotic congenital heart disease correctable with an intra-atrial baffle |
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| Authors: | Thomas G. DiSessa M.D. Stanley E. Kirkpatrick Charles B. Higgins Michael J. Hirschklau Pat O. Daily William F. Friedman |
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| Affiliation: | (1) Division of Pediatric Cardiology, Department of Pediatrics, University of California, Los Angeles, School of Medicine, California;(2) Department of Pediatrics, University of California, San Diego, School of Medicine, 90024 La Jolla, California;(3) Department of Radiology, University of California, San Diego, School of Medicine, La Jolla, California;(4) Department of Cardiovascular Surgery, University of California, San Diego, School of Medicine, La Jolla, California |
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| Abstract: | ![]()
Summary The clinical, angiocardiographic, and surgical findings in a cyanotic child with dextrocardia, L-loop, laterally inverted but otherwise normally related great arteries, and situs ambiguus are described and compared with other similar cases. Electrocardiographic, echocardiographic, and angiographic data are reviewed, and thesegmental approach to diagnosis is stressed. Both systemic and pulmonary veins returned to the right-sided atrium. Blood then passed either through the mitral valve to the morphologically left ventricle and to the aorta or through an atrial septal defect to a small left-sided atrium, right ventricle, and pulmonary artery. Total correction was undertaken with an intra-atrial baffle to direct pulmonary venous return to the morphologically right ventricle and systemic venous return to the right ventricle. The subpulmonic stenosis was alleviated with an outflow patch. Supported by Public Health Service grants HL 05846 and HL 12373 |
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| Keywords: | Dextrocardia Polysplenia Complex cyanotic heart disease Surgery Intra-atrial baffle |
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