Korean J Thorac Cardiovasc Surg.
1997 Dec;30(12):1242-1246.
Double Outlet of Right Ventricle in Criss-Cross Heart: Surgical Experience of One Case
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Medical College of Kosin University, Pusan, Korea.
- 2Department of Pediatrics, Medical College of Kosin University, Pusan, Korea.
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.
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