An appreciation of the structural variability in the components of the ventricular outlets in congenitally malformed hearts

Hosseinpour, Amir-Reza; Jones, Timothy J.; Barron, David J.; Brawn, William J.; Anderson, Robert H.
May 2007
European Journal of Cardio-Thoracic Surgery;May2007, Vol. 31 Issue 5, p889
Academic Journal
Summary: The morphology of the outlet septum, the ventriculo-infundibular fold, the infundibulum and the septomarginal trabeculation has been well described. These structures are closely interrelated, such that variations in the morphology and orientation of any one of them inevitably affect the morphology and orientation of the others. In this review, we seek to clarify how these normal relationships change within the setting of congenitally malformed hearts. This is of immense surgical significance, since the surgical correction of many congenital cardiac malformations involves procedures on, or in the vicinity of, these structures. We provide an insight into how the appearance of the components of the ventricular outlets can vary with the underlying pathology. We first define the relevant structures and describe how their location can vary in different malformations. We will then describe how the variations in that interrelationship may result in malalignment and deviation of the outlet septum, emphasising the surgical implications of these specific features.


Related Articles

  • Impaired weight gain predicts risk of late death after surgery for congenital heart defects. Eskedal, L. T.; Hagemo, P. S.; Seem, E.; Eskild, A.; Cvancarova, M.; Seiler, S.; Thaulow, E. // Archives of Disease in Childhood;Jun2008, Vol. 93 Issue 6, p495 

    Objectives: To describe long-term somatic growth in terms of weight for age in children operated on for congenital heart defects who die late (after the first 30 postoperative days) and to study the relationship between postoperative weight gain and survival after surgery for congenital heart...

  • Congenital right atrial diverticulum, atrial septal defect within the oval fossa, and complex pulmonary valvar obstruction in an infant with chromosome 8(p23.1) deletion. Gengsakul, Aungkana; Sett, Suvro S.; Hosking, Martin C. K. // Cardiology in the Young;Jun2005, Vol. 15 Issue 3, p306 

    We describe an unusual right atrial aneurysm, occurring with progressive obstruction of the right vent titular outflow tract and increasing cyanosis, in a nine-month-old boy with chromosome 8(p23.1) deletion. Surgical resection of the diverticulum, and relief of the right ventricular...

  • ARRIHYTHMIAS IN ADULTS WITH CONGENITAL HEART DISEASE. Triedman, John K. // Heart;Apr2002, Vol. 87 Issue 4, p383 

    Refinement of surgical techniques for the treatment of congenital heart disease (CHD) has created a new population of young adults with heart disease. In the U.S., it is estimated that there are nearly one million CHD patients, 15-20% with disease of severity to warrant surgical intervention. As...

  • Post-hoc Diagnosis of Congenital Long QT Syndrome in Patients with Tetralogy of Fallot. Walls, J.; Sanatani, S.; Hamilton, R. // Pediatric Cardiology;Jan/Feb2005, Vol. 26 Issue 1, p107 

    This report describes two patients diagnosed with congenital long QT syndrome after surgical repair of tetralogy of Fallot. Despite the fact that both patients had preoperative electrocardiograms demonstrating QT prolongation, neither was diagnosed until long after their surgeries, when they or...

  • Fixing Broken Hearts. Murr, Andrew // Newsweek;Fall/Winter2000 Your Child, Vol. 136 Issue 17a, p48 

    Discusses techniques and technologies used to correct heart defects in children. Details of a newborn's heart and congenital heart problems; Examples of successful operations in young children.

  • Academic Proficiency in Children After Early Congenital Heart Disease Surgery. Mulkey, Sarah; Swearingen, Christopher; Melguizo, Maria; Reeves, Rachel; Rowell, Jacob; Gibson, Neal; Holland, Greg; Bhutta, Adnan; Kaiser, Jeffrey // Pediatric Cardiology;Feb2014, Vol. 35 Issue 2, p344 

    Children with early surgery for congenital heart disease (CHD) are known to have impaired neurodevelopment; their performance on school-age achievement tests and their need for special education remains largely unexplored. The study aimed to determine predictors of academic achievement at school...

  • Congenital Heart Disease.  // Current Medical Literature: Cardiology;2008, Vol. 27 Issue 4, p133 

    The article presents abstracts related to congenital heart disease (CHD) which includes a study comparing congenitally corrected transposition patients with those who underwent corrective surgery and the influence of gender on the outcome of CHD.

  • Three-dimensional patient-specific cardiac model for surgical planning in Nikaidoh procedure. Valverde, Israel; Gomez, Gorka; Gonzalez, Antonio; Suarez-Mejias, Cristina; Adsuar, Alejandro; Coserria, Jose Felix; Uribe, Sergio; Gomez-Cia, Tomas; Hosseinpour, Amir Reza // Cardiology in the Young;Apr2015, Vol. 25 Issue 4, p698 

    Purpose: To explore the use of three-dimensional patient-specific cardiovascular models using rapid prototyping techniques (fused deposition modelling) to improve surgical planning in patients with complex congenital heart disease. Description: Rapid prototyping techniques are used to print...

  • Late Onset of Heart Block After Open Heart Surgery for Congenital Heart Disease. Liberman, Leonardo; Pass, Robert H.; Hordof, Allan J.; Spotnitz, Henry M. // Pediatric Cardiology;Jan2008, Vol. 29 Issue 1, p56 

    Late onset of complete heart block is a potentially dangerous complication after open heart surgery for congenital heart disease. The characteristics of patients with late-onset heart block have not been well described. A retrospective review of a pacemaker database was done to identify patients...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics