An infant with two “half-hearts” who survived for five days: A clinical and pathological report |
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Authors: | Dr Vera Demarchi Aiello Carlos Floriano de Morais Israel Gomes Ribeiro Naim Sauaia Munir Ebaid |
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Institution: | (1) Pathology and Congenital Heart Divisions of Heart Institute (Instituto do Coracao-INCOR, Hospital das Clinicas), Sao Paulo Medical School, Sao Paulo University, Brazil;(2) Department of Preventive Medicine, Sao Paulo Medical School, Sao Paulo University, Brazil;(3) INCOR-HCFMUSP, Dep. Anatomia Patologica Av. Dr. Eneas de Carvalho Aguiar, 44 CEP, 05403 Sao Paulo, S.P., Brazil |
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Abstract: | Summary The case of a five-day-old boy with two half-hearts, diagnosed at necropsy but not clinically, is presented. Each half-heart was totally separated from the other and each had a single atrium and ventricle. The two half-hearts were enveloped in a common pericardium. The left-sided atrium and the right-sided atrium had the morphologic characteristics of left and right atrium, respectively, but the morphology of the two ventricles was less characteristic. There were double truncuses and double superior and inferior venae cavae, too. Pulmonary venous drainage was totally anomalous; splenic abnormalities were not found. An embryologic lack of fusion of the primitive cardiac tubes is a possible starting point for these malformations. |
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Keywords: | Two half-hearts gif" alt="ldquo" align="MIDDLE" BORDER="0">half-hearts " target="_blank">gif" alt="rdquo" align="MIDDLE" BORDER="0"> Congenital heart disease Double hearts Bipartite hearts |
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