1995
DOI: 10.1016/0003-4975(94)00745-s
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Isolated atrial inversion in situs inversus: A rare anatomic arrangement

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Cited by 8 publications
(6 citation statements)
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“…Its morphological name is as yet undescribed, and perhaps it can be best described as physiological venoatrial discordance in the setting of LA isomerism and ventriculoarterial concordance {A, D, S}. This rare condition is different from isolated atrial and ventricular inversion according to strict anatomic segmental descriptions but can be physiologically similar ( 4 , 5 , 6 , 7 , 8 ). An atrial switch operation such as the Senning procedure achieves physiological correction by redirecting the pulmonary venous return into the systemic left ventricle and the systemic venous return into the subpulmonary right ventricle, as has been previously described ( 3 , 4 , 5 , 6 , 7 ).…”
Section: Discussionmentioning
confidence: 99%
“…Its morphological name is as yet undescribed, and perhaps it can be best described as physiological venoatrial discordance in the setting of LA isomerism and ventriculoarterial concordance {A, D, S}. This rare condition is different from isolated atrial and ventricular inversion according to strict anatomic segmental descriptions but can be physiologically similar ( 4 , 5 , 6 , 7 , 8 ). An atrial switch operation such as the Senning procedure achieves physiological correction by redirecting the pulmonary venous return into the systemic left ventricle and the systemic venous return into the subpulmonary right ventricle, as has been previously described ( 3 , 4 , 5 , 6 , 7 ).…”
Section: Discussionmentioning
confidence: 99%
“…So-called ''isolated atrial inversion'' is typically found in the setting of discordant atrioventricular connections. [1][2][3] Hence, together with concordant venoatrial connections and ventriculoarterial connections, this combination of segmental arrangement results in transposition physiology. In our patient, however, the coexistence of criss-crossed ventricular inflows led to concordant atrioventricular connections.…”
Section: Discussionmentioning
confidence: 99%
“…Spiralling outflow tracts, nonetheless, can also be found when the atrioventricular connections are discordant and the ventriculo-arterial connections are concordant. 16,21,22,29,38,43,44 Much of the confusion underscoring the multiple names previously used to describe the segmental combinations relates to the morphology of the ventricular outflow tracts. Presence of a significant subaortic infundibulum, nonetheless, has been incriminated as causing obstruction in the left ventricular outflow tract, 10,45 with a subpulmonary infundibulum also cited as producing right ventricular outflow tract obstruction.…”
Section: Surgical Anatomymentioning
confidence: 99%
“…A number of cases have now been described in which, as predicted by Geipel, 1 despite the existence of concordant ventriculo‐arterial connections, the physiological picture produced is that of transposition 8–54 . Understanding of these accounts has been hindered by the varied terms used for description.…”
Section: Introductionmentioning
confidence: 99%