ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Athos Capuani
Robert H. Anderson
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Capuani, A.
Right arrow Articles by Anderson, R. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Capuani, A.
Right arrow Articles by Anderson, R. H.

Ann Thorac Surg 1995;59:352-360
© 1995 The Society of Thoracic Surgeons

Anatomic Spectrum of Abnormal Ventriculoarterial Connections: Surgical Implications

Athos Capuani, MD, Hideki Uemura, MD, Siew Yen Ho, PhD, Robert H. Anderson, MD

Department of Paediatrics, National Heart and Lung Institute, London, United Kingdom

Accepted for publication September 15, 1994.

To clarify the salient anatomic features of surgical significance, we investigated 33 specimens representing the spectrum of abnormal ventriculoarterial connections. In those with tetralogy of Fallot or double-outlet right ventricle with subaortic ventricular septal defect, the muscular outlet septum separating the subarterial outflow tracts was always inserted into (or in front of) the anterior limb of the septomarginal trabeculation (septal band). In those having double-outlet right ventricle with doubly committed ventricular septal defect, the outlet septum was lacking. When the ventricular septal defect was in subpulmonary position, with either double-outlet or discordant ventriculoarterial connections, the outlet septum was attached to the posterior limb of the septomarginal trabeculation. The outlet septum was deviated into the subpulmonary outlet in hearts with discordant ventriculoarterial connections and pulmonary stenosis. It is the interrelations between the septomarginal trabeculation, the outlet septum, and the ventriculoinfundibular fold that hold the key to the understanding of surgical anatomy and determine the optimal choice of procedure for definitive biventricular repair.




This article has been cited by other articles:


Home page
 Eur. J. Cardiothorac. Surg.Home page
A.-R. Hosseinpour, T. J. Jones, D. J. Barron, W. J. Brawn, and R. H. Anderson
An appreciation of the structural variability in the components of the ventricular outlets in congenitally malformed hearts
Eur. J. Cardiothorac. Surg., May 1, 2007; 31(5): 888 - 893.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. P. Beekman, M. M. Bartelings, M. G. Hazekamp, A. C. Gittenberger-de Groot, and J. Ottenkamp
The morphologic nature of noncommitted ventricular septal defects in specimens with double-outlet right ventricle
J. Thorac. Cardiovasc. Surg., November 1, 2002; 124(5): 984 - 990.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
M.A. Gatzoulis, N. Soukias, S.Y. Ho, M. Josen, and R.H. Anderson
Echocardiographic and morphological correlations in tetralogy of Fallot
Eur. Heart J., February 1, 1999; 20(3): 221 - 231.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. Y. Ho, M. Muriago, A. C. Cook, G. Thiene, and R. H. Anderson
Surgical Anatomy of Aorto-Left Ventricular Tunnel
Ann. Thorac. Surg., February 1, 1998; 65(2): 509 - 514.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1995 by The Society of Thoracic Surgeons.