Surgical Repair of Anatomically Corrected Malposition of the Great Arteries

Edward A. Rittenhouse, Lore Tenckhoff, Isamu Kawabori, Peter B. Mansfield, Dale G. Hall, John W. Brown, Harold King

Research output: Contribution to journalReview article

13 Scopus citations

Abstract

Anatomically corrected malposition of the great arteries ia a rare malformation in which the aorta and pulmonary artery arise from their appropriate ventricles but in an abnormal spatial relationship. This report describes 2 patients with anatomically corrected malposition who underwent closure of a ventricular septal defect and placement of a right ventricle-pulmonary artery conduit. A review of the literature indicates that surgical results have been good (92% survival) in those patients with situs solitus and atrioventricular concordance {S,D,L}. However, when there is atrioventricular discordance, that is, {S,L,D} or {I,D,L}, hypoplastic right heart structures, or both conditions, the outcome after palliative procedures has been poor (29% survival). The results of surgical treatment should improve as this entity is recognized earlier and prompt surgical treatment is undertaken.

Original languageEnglish (US)
Pages (from-to)220-228
Number of pages9
JournalAnnals of Thoracic Surgery
Volume42
Issue number2
DOIs
StatePublished - Jan 1 1986
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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    Rittenhouse, E. A., Tenckhoff, L., Kawabori, I., Mansfield, P. B., Hall, D. G., Brown, J. W., & King, H. (1986). Surgical Repair of Anatomically Corrected Malposition of the Great Arteries. Annals of Thoracic Surgery, 42(2), 220-228. https://doi.org/10.1016/S0003-4975(10)60527-9