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[Double outlet right ventricle].

H Kurosawa1

  • 1Department of Cardiovascular Surgery, Jikei University School of Medicirl, Tokyo, Japan.

Nihon Geka Gakkai Zasshi
|August 30, 2001
PubMed
Summary
This summary is machine-generated.

This study classifies double outlet right ventricle into eight types based on anatomical relationships. Specific types, dextroposition and conotruncal criss-cross, allow for appropriate biventricular repair.

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Area of Science:

  • Congenital heart disease
  • Pediatric cardiology
  • Cardiac surgery

Context:

  • Double outlet right ventricle (DORV) presents diverse anatomical variations.
  • Understanding these variations is crucial for surgical planning.
  • Previous classifications may not fully capture all subtypes.

Purpose:

  • To categorize the eight fundamental types of double outlet right ventricle.
  • To identify specific anatomical relationships, including ventriculoarterial, great artery deviation, and atrioventricular relationships.
  • To determine which DORV types are amenable to biventricular repair.

Summary:

  • Eight fundamental types of DORV are defined by ventriculoarterial and atrioventricular relationships, and great artery deviation.
  • The combination of dextroposition of the posterior great artery and levoposition of the anterior great artery results in conotruncal criss-cross.

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  • Biventricular repair is feasible for the dextroposition and conotruncal criss-cross types of DORV.

    • Impact:

    • Provides a refined classification system for double outlet right ventricle.
    • Facilitates selection of appropriate surgical strategies, particularly biventricular repair.
    • Aims to improve outcomes for patients with complex congenital heart defects.