Presentation is loading. Please wait.

Presentation is loading. Please wait.

Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures  Hideki Uemura,

Published byLê Đinh Modified over 5 years ago

Similar presentations

Presentation on theme: "Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures  Hideki Uemura,"— Presentation transcript:

1 Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures  Hideki Uemura, MD, FRCS, Siew Yen Ho, PhD, Iki Adachi, MD, Toshikatsu Yagihara, MD  The Annals of Thoracic Surgery  Volume 86, Issue 4, Pages (October 2008) DOI: /j.athoracsur Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Diagrams of ventriculoarterial connections in patients and specimens with double inlet left ventricle with the right ventricle leftwards in relation to the dominant left ventricle. The schemas are drawn as seen from the top. The numbers of examples are shown adjacent to each schema. Percentages indicate degree of overriding of the aorta. (Ao = aorta; LV = morphologic left ventricle; PA = pulmonary arterial trunk; RV = morphologic right ventricle; VA = ventriculoarterial connection.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Diagrams of ventriculoarterial connections in patients and specimens with double inlet left ventricle with the right ventricle rightwards and adjacent to the right atrium. The schemas are drawn as seen from the top. The numbers of examples are shown adjacent to each schema. Percentages indicate degree of overriding of either the aorta or the pulmonary trunk. (Ao = aorta; PA = pulmonary arterial trunk; RV = morphologic right ventricle; LV = morphologic left ventricle; VA = ventriculoarterial connection.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (a) An example of both great arteries arising from the right-sided morphologic right ventricle. The ventricular septal defect is large, and the outlet septum is oriented perpendicular to the muscular ventricular septum. Panels b, c, and d show examples of unusual ventriculoarterial connections; the aorta arising from the morphologically right ventricle and the pulmonary pathway having membranous atresia. (b) The aorta was anterior to the pulmonary trunk, and the arterial trunks had a parallel arrangement. (c) From the dominant morphologic left ventricle, the imperforate pulmonary valve was seen in relation to the crest of the muscular ventricular septum, while the forceps through the aortic valve indicated that the aortic valvar orifice exclusively originated from the morphologic right ventricle. The outlet septum was markedly attenuated. (d) This view from the pulmonary trunk revealed an imperforate pulmonary valve. (Ao = aorta; AoV = aortic valve; AVV = atrioventricular valve; PT = pulmonary arterial trunk; PV = pulmonary valve; RA = right atrium; RV = morphologic right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Diagrams of obstructions across the aortic or pulmonary pathway in clinical patients. A solitary arrow indicates a restrictive interventricular communication. A broken arrow indicates deviation of the outlet septum. A dual arrow shows a markedly deviated and substantially formed outlet septum. Aortic pathway obstruction includes coarctation of the aorta, interruption of the aortic arch, or subaortic stenosis. (Ao = aorta, LV = morphologic left ventricle; PA = pulmonary arterial trunk; RV = morphologic right ventricle; VA = ventriculoarterial connection.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Diagrams of ventricular outflow tracts in clinical series in relation to outflow obstructions and surgical procedures used to avoid subaortic stenosis (by either the Damus-Kaye-Stansel anastomosis or enlargement of the interventricular communication). A set of the numbers indicates the number of the surgical procedures used for this purpose from the total number of each pattern of ventriculoarterial connection. Aortic pathway obstruction includes coarctation of the aorta, interruption of the aortic arch, or subaortic stenosis. (Ao = aorta; LV = morphologic left ventricle; PA = pulmonary arterial trunk; RV = morphologic right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures  Hideki Uemura,"

Similar presentations

Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures Hideki Uemura, MD,

Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures Hideki Uemura, MD,
Mauer Biscotti, MD, Matthew Bacchetta, MD 

Mauer Biscotti, MD, Matthew Bacchetta, MD 
Surgical treatment of subaortic stenosis after biventricular repair of double-outlet right ventricle  Emre Belli, MD, Alain Serraf, MD, François Lacour-Gayet,

Surgical treatment of subaortic stenosis after biventricular repair of double-outlet right ventricle  Emre Belli, MD, Alain Serraf, MD, François Lacour-Gayet,
The left ventricular outflow tract in atrioventricular septal defect revisited: Surgical considerations regarding preservation of aortic valve integrity.

The left ventricular outflow tract in atrioventricular septal defect revisited: Surgical considerations regarding preservation of aortic valve integrity.
Morphologic features of atrioventricular septal defect with only ventricular component: Further observations pertinent to surgical repair  Iki Adachi,

Morphologic features of atrioventricular septal defect with only ventricular component: Further observations pertinent to surgical repair  Iki Adachi,
Henry J. Tannous, MD, Achintya N. Moulick, MD, Richard A. Jonas, MD 

Henry J. Tannous, MD, Achintya N. Moulick, MD, Richard A. Jonas, MD 
Robert H. Anderson, MD  The Annals of Thoracic Surgery 

Robert H. Anderson, MD  The Annals of Thoracic Surgery 
Anatomic Repair for Corrected Transposition With Left Ventricular Outflow Tract Obstruction  Takaya Hoashi, MD, PhD, Koji Kagisaki, MD, Aya Miyazaki,

Anatomic Repair for Corrected Transposition With Left Ventricular Outflow Tract Obstruction  Takaya Hoashi, MD, PhD, Koji Kagisaki, MD, Aya Miyazaki,
Yasui Conversion for Repair After Left Ventricular Outflow Tract Obstruction  Satoshi Fujita, MD, PhD, Toshihide Nakano, MD, PhD, Shinichiro Oda, MD, PhD,

Yasui Conversion for Repair After Left Ventricular Outflow Tract Obstruction  Satoshi Fujita, MD, PhD, Toshihide Nakano, MD, PhD, Shinichiro Oda, MD, PhD,
Repair of Atrioventricular Septal Defect Associated With Tetralogy of Fallot or Double- Outlet Right Ventricle: 30 Years of Experience  Jeremy Ong, BMedSci,

Repair of Atrioventricular Septal Defect Associated With Tetralogy of Fallot or Double- Outlet Right Ventricle: 30 Years of Experience  Jeremy Ong, BMedSci,
Late Assessment After Biventricular Repair for Isomerism Heart

Late Assessment After Biventricular Repair for Isomerism Heart
The practical clinical value of three-dimensional models of complex congenitally malformed hearts  Eugénie Riesenkampff, MD, Urte Rietdorf, MSc, Ivo Wolf,

The practical clinical value of three-dimensional models of complex congenitally malformed hearts  Eugénie Riesenkampff, MD, Urte Rietdorf, MSc, Ivo Wolf,
Aortic Translocation for Repair of Transposition of the Great Arteries (S,D,L) With Ventricular Septal Defect and Pulmonic Stenosis  Justin G. Reeves,

Aortic Translocation for Repair of Transposition of the Great Arteries (S,D,L) With Ventricular Septal Defect and Pulmonic Stenosis  Justin G. Reeves,
Spiral ventricular septation

Spiral ventricular septation
Biventricular Repair for Right Atrial Isomerism

Biventricular Repair for Right Atrial Isomerism
The conduction system in hearts with pulmonary atresia and intact ventricular septum  Aneel Ansari, MBBS, Diane Goltz, MD, Karen Patricia McCarthy, BS,

The conduction system in hearts with pulmonary atresia and intact ventricular septum  Aneel Ansari, MBBS, Diane Goltz, MD, Karen Patricia McCarthy, BS,
Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations  Sinai C. Zyblewski, MD, Girish.

Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations  Sinai C. Zyblewski, MD, Girish.
Hideki Uemura, MD, Iki Adachi, MD, Karen P

Hideki Uemura, MD, Iki Adachi, MD, Karen P
Outcomes of Different Surgical Strategies in the Treatment of Neonates with Aortic Coarctation and Associated Ventricular Septal Defects  Bahaaldin Alsoufi,

Outcomes of Different Surgical Strategies in the Treatment of Neonates with Aortic Coarctation and Associated Ventricular Septal Defects  Bahaaldin Alsoufi,
Mazyar Kanani, MRCS, Antoon F. M. Moorman, PhD, Andrew C

Mazyar Kanani, MRCS, Antoon F. M. Moorman, PhD, Andrew C

Similar presentations

Ads by Google