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Crossed atrioventricular connections

F Attie, L Muñoz-Castellanos, J Ovseyevitz

    American Heart Journal
    |February 1, 1980
    PubMed
    Summary
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    This study details four cases of crossed atrioventricular connections, a rare congenital heart defect. Most patients exhibit concordant atrioventricular connections, with various ventriculo-arterial connections observed.

    Area of Science:

    • Cardiology
    • Congenital Heart Disease
    • Developmental Biology

    Background:

    • Crossed atrioventricular connections are rare congenital heart malformations.
    • Understanding these complex cardiac anomalies is crucial for diagnosis and management.

    Observation:

    • Four cases of crossed atrioventricular connections were diagnosed using cardiac catheterization and angiocardiography.
    • These cases presented with diverse situs (solitus and inversus) and ventriculo-arterial connections, including double-outlet right ventricle and transposition of the great arteries.

    Findings:

    • Most patients with crossed atrioventricular connections demonstrate concordant atrioventricular connections.
    • Transposition of the great arteries is the most frequent ventriculo-arterial connection type in these cases.

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  • A proposed classification based on atrioventriculo-arterial connections aids in understanding this malformation.

    • Implications:

    • The bulboventricular loop plays a significant role in determining atrioventricular connections.
    • Accurate diagnosis relies on understanding the spatial relationship between atrioventricular and ventriculo-arterial connections.
    • This study contributes to the classification and clinical understanding of crossed atrioventricular connections.