A concept of double-outlet right ventricle

Lev, Maurice; Bharati, Saroja; Meng, C. C.Laura; Liberthson, R R; Paul, Milton H.; Idriss, Farouk S.

doi:10.1016/s0022-5223(19)41769-8

Cited by 270 publications

(81 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Considering the spectra of cardiac malformations, including DORV, in literature of both malformed human (Lev, 1972;Anderson et al, 1974;Angelini and Leachman, 1976;Bostrom et al, 1988) and animal hearts (Chon et al, 1984;Nishibitake et al, 1987;Icardo and Sanchez de Vega, 19911, which are mostly the result of experimental manipulations, a striking difference with our spectrum is notable. A persistent truncus and a transposition of the great arteries are often registered as part of the spectrum, which are not present in our spectrum.…”

Section: Hh17 (Delacontrasting

confidence: 62%

Spectrum of looping disturbances in stage 34 chicken hearts after retinoic acid treatment

et al. 1995

View full text Add to dashboard Cite

The present cardiac malformations in the chicken as a result of retinoic acid treatment are part of a continuous spectrum, varying from hearts with an intact ventricular septum and a normal course of the subaortic outflow tract to a double outlet right ventricle with a straddling tricuspid orifice or even a double inlet left ventricle. A remarkable observation in this spectrum concerns the correlation of malformations of the inflow and outflow tracts, which is explained as a cardiac looping disturbance. The disturbance of the looping process seems to lead to malalignment of septal components, although, in the chick, retinoic acid does not in general interfere with the formation of these septal components themselves.

show abstract

Section: Hh17 (Delacontrasting

confidence: 62%

Spectrum of looping disturbances in stage 34 chicken hearts after retinoic acid treatment

et al. 1995

View full text Add to dashboard Cite

show abstract

“…It was described by Van Mierop et al (1963b), and further elucidated by Goor et al (1971). DORV was classified by Lev et al (1972) in terms of the ventricular septal defect (VSD) position: 1) subaortic, 2) subpulmonary, 3) doubly committed, and 4) uncommitted. We think that this classification of DORV, although outstanding in terms of morphological details, mixes two different conditions: DORV and AD.…”

Section: Introductionmentioning

confidence: 99%

Double Outlet Right Ventricle Versus Aortic Dextroposition: Morphologically Distinct Defects

Restivo

Unolt

Putotto

et al. 2013

The Anatomical Record

View full text Add to dashboard Cite

This study concerns the morphological differentiation between double outlet right ventricle (DORV) and aortic dextroposition (AD) defects, namely tetralogy of Fallot and Eisenmenger anomaly. Indeed, despite the similar condition in terms of sequential ventriculo-arterial connections, DORV and AD are two distinct morphological entities. It is proposed that the borderline between these two groups of malformations is represented by the specific insertion of the infundibular septum into the left anterior cranial division of the septomarginal trabeculation (or septal band) occurring in ADs and lacking in DORV. Furthermore, the spiraliform versus straight parallel arrangement of the great arteries in the two groups of anomalies is emphasized as an additional and distinctive morphological feature. Emphasis is also given to the association of straight parallel great arteries conotruncal malformations, DORV and transposition of the great arteries, with the asplenia type of heterotaxy laterality defects. Within this context, the absence of subaortic ventricular septal defect and concomitantly of spiraliform great arteries in the asplenia group of heterotaxy anomalies, as detected by this study, further substantiates our belief of not mixing collectively the ADs with the DORV in clinico-pathological diagnosis.

show abstract

“…This rare form of complex congenital heart disease (CHD) accounts for 1-3% of all CHDs and may occur in isolation, with other cardiac defects and in association with extracardiac anomalies. 1 The description of the relationship of the great vessels to the ventricular septal defect (VSD) by Lev et al in 1972 is the most commonly employed classification scheme to describe DORV. 2 Importantly, this provides an understanding of not only the anatomic features of the defect but also the physiology associated with each subtype.…”

Section: Introductionmentioning

confidence: 99%

“…1 The description of the relationship of the great vessels to the ventricular septal defect (VSD) by Lev et al in 1972 is the most commonly employed classification scheme to describe DORV. 2 Importantly, this provides an understanding of not only the anatomic features of the defect but also the physiology associated with each subtype. In DORV with subpulmonary VSD (Taussig-Bing anomaly), the physiology is similar to transposition of the great arteries (TGA) as a result of the intimate relationship between the VSD and the pulmonary artery.…”

Section: Introductionmentioning

confidence: 99%

Unusual Surgical Repair of the Taussig-Bing Heart: Evaluation of Complex Anatomy in the Adult with Congenital Heart Disease with Cardiovascular Magnetic Resonance

Walls

Thavendiranathan

Rowland

et al. 2011

Congenital Heart Disease

View full text Add to dashboard Cite

Double outlet right ventricle is a heterogeneous congenital defect that encompasses a variety of anatomic aberrations and physiologic consequences. We describe the unusual cardiovascular magnetic resonance anatomic findings and sequelae of a 44-year-old man who underwent biventricular repair of double outlet right ventricle, subpulmonary type, which included tunneling of the ventricular septal defect to the pulmonary artery, right ventricular-to-pulmonary artery conduit and Damus-Kaye-Stansel procedure.

show abstract

A concept of double-outlet right ventricle

Cited by 270 publications

References 33 publications

Spectrum of looping disturbances in stage 34 chicken hearts after retinoic acid treatment

Spectrum of looping disturbances in stage 34 chicken hearts after retinoic acid treatment

Double Outlet Right Ventricle Versus Aortic Dextroposition: Morphologically Distinct Defects

Unusual Surgical Repair of the Taussig-Bing Heart: Evaluation of Complex Anatomy in the Adult with Congenital Heart Disease with Cardiovascular Magnetic Resonance

Contact Info

Product

Resources

About