Transposition functionally totally corrected, associated with “mitral” insufficiency

Malers, E; Björk, Viking Olov; Cullhed, I; Lodin, Herman

doi:10.1016/0002-8703(60)90406-3

Cited by 41 publications

(4 citation statements)

References 17 publications

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“…2b), 11 patients. Under the title of corrected transposition of the great vessels, this type has been adequately described by Walmsley (1931), Harris and Farber (1939), Liebow and McFarland (1941), Anderson et al (1957), Gasul, Graettinger, and Bucheleres (1959), de La Cruz et al (1959, 1962, Malers et al (1960), Beck et al (1961), Schiebler et al (1961), and Honey (1962. The morphological right atrium is situated on the right.…”

Section: /65mentioning

confidence: 99%

Complete and Inverted Transposition of the Great Vessels

Shaher¹

1964

Heart

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The embryology, pathology, clinical picture, and surgical treatment of transposition of the great vessels have been extensively reviewed. Less attention, however, has been given to the anatomy of the chambers of the heart in this condition. One name has been used to describe more than one anatomical type of transposition, or several names (mostly non-descriptive) have been used to describe one anatomical type. Corrected transposition (Rokitansky, 1875;Anderson, Lillehei, and Lester, 1957; and others), reversed torsion of the human heart (Lewis and Abbott, 1915), mirror image transposition of the ventricles, aorta, and pulmonary artery (Beattie, 1922), transposition of the ventricles and the arterial stems (Walmsley, 1931), mixed lhvocardia with transposed ventricles with complete pseudotransposition (Lev, 1954), and inverted transposition (Spitzer, 1923): these are all different terms used to describe one type of corrected transposition of the great vessels. Dextrorotation and 'some type of lkvocardia', were two terms used by de La Cruz, Polansky, and NavarroL6pez (1962) to describe one type of corrected transposition of the great vessels with isolated dextrocardia and isolated levocardia respectively. Whereas the term dextroversion has been used by Grant (1958) to describe one variety of isolated dextrocardia, it has been used by Lichtman (1931) to indicate displacement of the heart to the right by acquired or congenital causes, by Paltauf (1901) and Monckeberg (1924) to signify an extrinsic congenital dextrocardia, and by Harris and Faber (1939) to describe their Case 16 of corrected transposition with l&vocardia. Mixed kavocardia and mixed dextrocardia (Lev, 1954) are two terms that have been used when each atrium is not connected to its corresponding ventricle, in lievocardia and in dextrocardia respectively. The object of this paper is to discuss the basic anatomical types of transposition of the great vessels and to advocate the use of their actual anatomical names. Inversion means a reversal in the frontal plane of the lateral relations between structures, and transposition means a reversal of relations in the antero-posterior plane. The chambers of the heart are best named according to the morphology, and morphology is best recognized by the architecture of the septum (Lev and Rowlatt, 1961). Thus the right atrium presents a limbus and a fossa ovalis on its septal surface; and the left atrium has on its septal surface the irregular configuration of the septum primum as it is adherent to the septum secundum. The right ventricle presents the septal and parietal bands forming the crista supraventricularis, and a trabeculated septum in the inlet. The left ventricle presents a relatively non-trabeculated septal surface in its basilar portion, and a mildly trabeculated apical portion, with the fibres streaming parallel to the outflow of blood.In 1923 Spitzer recognized four grades of transposition of the great vessels. In his type 1, the pulmonary trunk arises from the right ventricle, and the aorta overri...

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Section: /65mentioning

confidence: 99%

Complete and Inverted Transposition of the Great Vessels

Shaher¹

1964

Heart

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“…In the presence of single ventricle it is not possible to differentiate between types 2 and 3. ANATOMY AND CASE REPORTS Type 1 Corrected Transposition (transposition with bulbo-ventricular inversion, Cardell's B3), 8 patients This type has been fully described (Walmsley, 1931;Harris and Farber, 1939;Liebow and McFarland, 1941;Anderson, Lillehei, and Lester, 1957;Schaefer and Rudolph, 1957;Fink et al, 1958;Kernen, 1958;Gasul, Graettinger, and Bucheleres, 1959;De La Cruz et al, 1959;De La Cruz, Polansky, and Novarro-L6pez, 1962;Malers et al, 1960;and Beck et al, 1961), but for purposes of comparison will be briefly reviewed here. Our patients 1-8 belong to this type but case histories will not be given in this type of corrected transposition.…”

Section: Subjectsmentioning

confidence: 99%

“…branch. The left atrioventricular valve is frequently incompetent and this has been attributed to anomalous insertion of the chordae tendene or to an "Ebstein" type of malformation of this valve (Helmholz, Daugherty, and Edwards, 1956;Malers et al, 1960). Since the atria are not inverted the P wave in lead I of the electrocardiogram is usually upright.…”

Section: Subjectsmentioning

confidence: 99%

The Syndromes of Corrected Transposition of the Great Vessels

Shaher¹

1963

Heart

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In 1875 Rokitansky first described corrected transposition of the great vessels. Harris and Farber (1939) and Cardell (1956) thought that since inversion might occur in any part of the cardiac tube, in theory any one of eight types of transposition could result (Fig. 1). In their groups A3 and A4 the aorta arises from the morphological left ventricle but receives unoxygenated blood, hence they regarded it as being "corrected" anatomically but not physiologically. Their groups Bl and B2 associated with bulbus inversion, and sinu-atrial and ventricular inversion respectively, show both physiological and anatomical correction, the aorta arising from the morphological left ventricle and receiving oxygenated blood. In B3 and B4 associated with bulbo-ventricular inversion, and sinu-atrial inversion respectively, the aorta arises from the morphological right ventricle but receives oxygenated blood, hence it is corrected physiologically but not anatomically. Cardell (1956) and Harley (1958) suggested that the term corrected transposition should be confined to those cases with physiological correction only. Recent papers on the subject tend to confine the words "corrected transposition" to one anatomical type, i.e. the one associated with bulbo-ventricular inversion (Cardell's B3). Several papers have included cases of single ventricle among their material. The presence of a single ventricle vitiates any discussion of whether the transposition present is corrected or not, since mixing of the arterial and venous blood occurs in the common chamber. Several definitions have been given for corrected transposition, but we propose to use the term simply to define the condition where the transposed aorta receives oxygenated blood, and the transposed pulmonary artery receives venous blood. This paper is presented to describe three different types of corrected transposition that are readily recognizable whether there is lxvocardia or dextrocardia. Inversion means a reversal of the lateral relation between structures in the frontal plane. Complete transposition of the great vessels means that the aorta is lying anterior and to the right of the pulmonary artery, with livocardia. Inverted-transposition of the great vessels is used in the sense of Spitzer (1923) where the aorta is lying anterior and to the left of the pulmonary artery, with levocardia. During the course of the discussion cases of dextrocardia and levocardia will be mentioned. In order that these anomalies shall be properly understood, there should be a frame of reference which is that of normality, to which the abnormal situation may be compared in terms of inversion or transposition. The normal dextroposed heart in dextrocardia with situs inversus, with the venous chambers to the patient's left, is a mirror image of the normal lhvoposed heart in situs solitus. If in dextrocardia, the venous atrium is on the patient's right and the arterial on the left, they are by our definition inverted. This point is emphasized because this definition differs from that of Mande...

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“…'Ανώμαλες έκφύσεις τενοντίων χορδών άπό ασυνήθεις θέσεις, όπως είναι τό μεσοκοιλιακό διάφραγμα καί τό οπίσθιο τοίχωμα της αριστερής κοιλίας, ή ανώμαλες καταφύσεις μέσα στά σώματα τών γλωχίνων καί όχι στά ελεύθερα χείλη τους όπως συμβαίνει φυσιολογικά, είναι δυνατό νά προκαλέσουν άλλοτε άλλου βαθμού περιορισμό της κινητικότητας τών γλωχίνων της μιτροειδούς μέ αποτέλεσμα κακή σύγκλειση του στομίου. 'Ανωμαλίες στην εκφυση ή τήν πρόσφυση τών τενοντίων χορδών συνο δεύουν συνήθως τήν κοινή κολποκοιλιακή επικοινωνία, 72 τή διορθωμένη μετάθεση τών μεγάλων αγγείων 76 καί τήν υπερτροφική αποφρακτική μυο καρδιοπάθεια.…”

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Συμβολη Στην Αιτιολογικη Διαγνωση Της Ανεπαρκειας Της Μιτροειδους

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Transposition functionally totally corrected, associated with “mitral” insufficiency

Cited by 41 publications

References 17 publications

Complete and Inverted Transposition of the Great Vessels

Complete and Inverted Transposition of the Great Vessels

The Syndromes of Corrected Transposition of the Great Vessels

Συμβολη Στην Αιτιολογικη Διαγνωση Της Ανεπαρκειας Της Μιτροειδους

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