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Double-outlet left atrium with intact ventricular septum.

Y Suzuki1, Y Hamada, M Miura

  • 1Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, Japan.

The Annals of Thoracic Surgery
|March 1, 1988
PubMed
Summary

This study details the surgical repair of a rare congenital heart defect, double-outlet left atrium, in a pediatric patient. The successful treatment highlights a viable surgical approach for this complex condition.

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Area of Science:

  • Cardiology
  • Pediatric Cardiac Surgery
  • Congenital Heart Disease

Background:

  • Double-outlet left atrium (DOLA) is an extremely rare congenital heart anomaly.
  • This condition involves abnormal drainage of the left atrium into both ventricles.
  • Intact ventricular septum is a specific characteristic observed in this case.

Observation:

  • A 13-year-old female patient presented with DOLA.
  • The right atrium's sole outlet was a secundum atrial septal defect.
  • The left atrium communicated with both ventricles via two atrioventricular valves.

Findings:

  • The clinical course and surgical repair of this rare DOLA case were documented.
  • Surgical intervention was performed for the complex cardiac anatomy.

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  • This represents one of the few reported instances of DOLA repair.

    • Implications:

    • The findings contribute to the limited literature on double-outlet left atrium.
    • Successful surgical repair offers insights into managing this rare anomaly.
    • Further research may improve outcomes for patients with similar congenital heart defects.