The morphologic nature of noncommitted ventricular septal defects in specimens with double-outlet right ventricle Rudolf P. Beekman, MD, PhDa, Margot.

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Presentation transcript:

The morphologic nature of noncommitted ventricular septal defects in specimens with double-outlet right ventricle Rudolf P. Beekman, MD, PhDa, Margot M. Bartelings, MD, PhDb, Mark G. Hazekamp, MD, PhDc, Adriana C. Gittenberger-de Groot, PhDb, Jaap Ottenkamp, MD, PhD, FESCa,d The Journal of Thoracic and Cardiovascular Surgery Volume 124, Issue 5, Pages 984-990 (November 2002) DOI: 10.1067/mtc.2002.123808 Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Subaortic VSD. Right ventricle in specimen with DORV with an anteroposterior outflow tract. The Y of the septomarginal trabeculation (arrow) cradles the VSD. The arrow overlies the aortic orifice. The subpulmonary outflow tract (P) lies anterior to the outlet septum (OS) and is not stenotic. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 984-990DOI: (10.1067/mtc.2002.123808) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 Subpulmonary VSD. Right ventricle in specimen with DORV with side-by-side outflow tracts. The Y of the SMT (arrow) cradles the VSD. The anterior limb (AL) of the SMT is not closely related to the outlet septum. The VIF is connected to the outlet septum (OS). The lateral outflow tract, which lies to the left and somewhat anterior on the figure, is subaortic. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 984-990DOI: (10.1067/mtc.2002.123808) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 Noncommitted VSD. Right ventricle in specimen with DORV. The probe lies through the noncommitted muscular inlet VSD, which lies below the tricuspid valve on this figure and has no relationship with the septomarginal trabeculation (SMT), which has been sectioned. VIF, Ventriculoinfundibular fold; OS, outlet septum. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 984-990DOI: (10.1067/mtc.2002.123808) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 4 Not-directly-committed VSD. Right ventricle in specimen with DORV. Aortic orifice (A) with broad ventriculoinfundibular fold (VIF) beneath it. On the figure the VSD, which opens into the outlet portion, lies to the right of the aorta and VIF and is cradled by the septomarginal trabeculation. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 984-990DOI: (10.1067/mtc.2002.123808) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 5 Not-directly-committed VSD. Left-sided right ventricle with DORV in specimen with atrioventricular discordance, complete atrioventricular septal defect in which the anterior bridging leaflet (ABL) is seen passing through the VSD. The VSD has an inlet and outlet component. There is some distance from the outlet component of the VSD to the aortic orifice, which lies below the outlet septum (OS) on this figure. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 984-990DOI: (10.1067/mtc.2002.123808) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions