Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Volume 3, Issue 1 , Pages 3-19, January 2000

Double-outlet right ventricle: Pathology and angiocardiography

Division of Cardiology and Department of Diagnostic Imaging, the Hospital for Sick Children and the Departments of Paediatrics and Medical Imaging, the University of Toronto Faculty of Medicine, Toronto, Canada

Abstract 

Double-outlet right ventricle is but one form of abnormal ventriculoarterial connection. The definition that more than half of each great artery originates above the morphologically right ventricle is arbitrary. As pointed out by Lecompte, those features that should be defined in hearts with the ventriculoarterial connection of double-outlet right ventricle (and indeed other forms of abnormal ventriculoarterial connection) include the nature of the infundibular septum, ventriculoinfundibular fold, trabeculoseptomargin-alis, attachments of infundibular septum to anterior or posterior limb of trabeculoseptomargin-alis, the size and position of the ventricular septal defect, the spatial relation of great artery(s) to the ventricular septal defect, the spatial relationship between the great, and the distance between the tricuspid and pulmonary valves and the semilunar valves. Copyright © 2000 by W.B. Saunders Company

Keywords:  Double-outlet right ventricle, anatomic features

 

 Address reprint requests to Robert M. Freedom, MD, The Hospital for Sick Children, 555 University Ave, Toronto, Ontario, Canada M5G1X8.

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Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Volume 3, Issue 1 , Pages 3-19, January 2000