Isolated atrial inversion
1972; Elsevier BV; Volume: 29; Issue: 6 Linguagem: Inglês
10.1016/0002-9149(72)90511-5
ISSN1879-1913
AutoresP. M. Clarkson, Peter W.T. Brandt, Brian G. Barratt‐Boyes, John M. Neutze,
Tópico(s)Cardiovascular and Diving-Related Complications
ResumoAfter cardiac catheterization and angiocardiographic studies an infant with cyanosis from birth was found to have visceral situs solitus, visceroatrial discordance without venoatrial discordance, a discordant ventricular d loop without transposition, and dextrocardia. The circulatory pathway was from the venae cavae to right atrium to left ventricle to aorta, and from the pulmonary veins to left atrium to right ventricle to pulmonary artery. An atrial defect was present allowing some mixing between the pulmonary and systemic circulations, but this appeared inadequate and the defect was enlarged surgically. Subsequently, a corrective operation using an atrial baffle to direct the pulmonary venous return to the left ventricle and the systemic venous return to the right ventricle was successfully undertaken.
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