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[Double outlet right ventricle. Angiographic study].

L Daliento1, P Della Valentina, J C Zevallos

  • 1Cattedra di Cardiologia, Università degli Studi di Padova.

Giornale Italiano Di Cardiologia
|July 1, 1987
PubMed
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This study details the anatomical variations in double outlet right ventricle (DORV) using cineangiography. Findings highlight diverse atrio-ventricular connections and septal defects, crucial for surgical planning in this complex congenital heart disease.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Cardiac Imaging

Background:

  • Double outlet right ventricle (DORV) is a complex congenital heart disease with significant anatomical variability.
  • Accurate anatomical description is essential for effective surgical management and patient outcomes.

Purpose of the Study:

  • To delineate the diverse anatomical features of double outlet right ventricle (DORV) in a cohort of patients.
  • To correlate anatomical findings with clinical presentation and surgical considerations.

Main Methods:

  • A retrospective cineangiographic study was conducted on 41 patients diagnosed with DORV.
  • A segmental approach was employed to systematically describe cardiac anatomy, including atrial situs, atrio-ventricular connections, and great artery relationships.

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Main Results:

  • Atrial situs variations (inversus, ambiguous, solitus) were noted in 18% of patients.
  • Atrio-ventricular connections were biventricular in 34 patients and univentricular in 7.
  • The most common great artery relationship was side-by-side (41.1%), with various types of ventricular septal defects and infundibular anomalies identified.

Conclusions:

  • Cineangiographic analysis reveals significant anatomical heterogeneity in DORV.
  • Understanding these variations, particularly great artery relationships and septal defects, is critical for guiding surgical interventions.
  • This detailed anatomical characterization aids in refining the nosological classification and surgical strategies for DORV.