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Anatomic correction of congenitally corrected transposition and its close cousins

Published online by Cambridge University Press:  13 October 2006

Edward L. Bove ,
Richard G. Ohye ,
Eric J. Devaney ,
Hiromi Kurosawa ,
Toshiharu Shin'oka ,
Aki Ikeda  and
Toshio Nakanishi
Edward L. Bove
Affiliation:
The Division of Pediatric Cardiovascular Surgery, Section of Cardiac Surgery, The University of Michigan School of Medicine, Ann Arbor, Michigan, United States of America
Richard G. Ohye
Affiliation:
The Division of Pediatric Cardiovascular Surgery, Section of Cardiac Surgery, The University of Michigan School of Medicine, Ann Arbor, Michigan, United States of America
Eric J. Devaney
Affiliation:
The Division of Pediatric Cardiovascular Surgery, Section of Cardiac Surgery, The University of Michigan School of Medicine, Ann Arbor, Michigan, United States of America
Hiromi Kurosawa
Affiliation:
The Department of Cardiovascular Surgery and Pediatric Cardiology, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan
Toshiharu Shin'oka
Affiliation:
The Department of Cardiovascular Surgery and Pediatric Cardiology, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan
Aki Ikeda
Affiliation:
The Department of Cardiovascular Surgery and Pediatric Cardiology, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan
Toshio Nakanishi
Affiliation:
The Department of Cardiovascular Surgery and Pediatric Cardiology, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan
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Abstract

The congenital cardiac malformation characterized by discordant connections between the atriums and ventricles, as well as those between the ventricles and the arterial trunks, has been given many names. The terms atrioventricular discordance, l-transposition of the great arteries, ventricular inversion, and congenitally corrected transposition have all been used. Regardless of terminology, this complex congenital anomaly has only recently been studied to analyze the long-term effects of its natural history and outcomes following traditional surgical repair of the associated malformations which serve to uncorrect the circulatory pathways. As more patients survive into adulthood, the effects of this condition are now better understood, and the surgical approaches used in the past are being re-examined in light of longer-term follow up.

Keywords

Discordant atrioventricular connectionsdouble discordanceatrioventricular dissociationcongenital heart disease
Type
Discordant Atrioventricular Connections
Information
Cardiology in the Young , Volume 16 , Supplement S3: Controversies and Challenges of the Atrioventricular Junctions and Other Challenges Facing Paediatric Cardiovascular Practitioners and their Patients , September 2006 , pp. 85 - 90
Copyright
© 2006 Cambridge University Press

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