Double Outlet of Right Ventricle in Criss-Cross Heart: Surgical Experience of One Case.
- Author:
Dae Yun KIM
1
;
Sung Rae CHO
;
Sung Dal PARK
;
Hyun Kee CHUNG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Medical College of Kosin University, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Criss-cross heart;
Double outlet right ventricle
- MeSH:
Angiography;
Aorta;
Atrioventricular Block;
Bays;
Cardiac Catheterization;
Cardiac Catheters;
Child, Preschool;
Crisscross Heart*;
Double Outlet Right Ventricle;
Echocardiography;
Embryonic Development;
Female;
Heart Septal Defects, Ventricular;
Heart Ventricles*;
Humans;
Pregnancy;
Transplants;
Ventricular Outflow Obstruction
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(12):1242-1246
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Criss-cross heart which is a cardiac malformation caused by abnormal rotation of the ventricles early in embryonic development, is rare but a double outlet of right ventricle in criss-cross heart is very rare. We experienced a case of criss-cross heart which is situs solitus, concordant atrioventricular connection and double outlet of right ventricle with remote ventricular septal defect of perimembranous inlet type. A 4-years old female was diagnosed as a double outlet of right ventricle in criss-cross heart after echocardiography, cardiac catheterization and cardiac angiography. The surgical correction was a intraventricular reconstruction of left ventricular outflow with 3/4 circle of 20 mm Hemashield vascular graft from the ventricular septal defect to the aorta. The patient had a temporary atrioventricular block but was recovered uneventfully, and a postoperative echocardiogram showed no left ventricular outflow obstruction, no intracardiac shunt.