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An unusual case of concordant ventriculoarterial connections, subpulmonary infundibulum, and parallel arterial trunks: a diagnostic challenge

Published online by Cambridge University Press:  28 June 2019

James A. Nelson
Affiliation:
Division of Pediatric Cardiology, Seattle Children’s Hospital, 4800 Sand Point Way NE, RC.2.820, PO Box 5371, Seattle, WA 98105, USA
Brian D. Soriano
Affiliation:
Division of Pediatric Cardiology, Seattle Children’s Hospital, 4800 Sand Point Way NE, RC.2.820, PO Box 5371, Seattle, WA 98105, USA
Sujatha Buddhe
Affiliation:
Division of Pediatric Cardiology, Seattle Children’s Hospital, 4800 Sand Point Way NE, RC.2.820, PO Box 5371, Seattle, WA 98105, USA

Abstract

We present an unusual case of concordant ventriculoarterial connections, subpulmonary infundibulum, and parallel arterial trunks. This case was complicated by extreme pulmonary artery tortuosity and low arching aorta causing severe tracheal compression. We discuss the difficulty in prenatal diagnosis, necessity for advanced imaging postnatally, and associated airway complications.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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References

Bravo-Valenzuela, NJ, Carrilho, MC, Peixoto, AB, Bezerra, MS, Araujo Júnior, E. Anatomically corrected malposition of the great arteries: a challenging fetal diagnosis. J Matern Fetal Neonatal Med 2018; 15.Google ScholarPubMed
Vanmierop, LH, Wiglesworth, FW. Pathogenesis of transposition complexes. II. Anomalies due to faulty transfer of the posterior great artery. Am J Cardiol 1963; 12: 226232.Google ScholarPubMed
Van Praagh, R, Perez-Trevino, C, Lõpez-Cuellar, M, et al. Transposition of the great arteries with posterior aorta, anterior pulmonary artery, subpulmonary conus and fibrous continuity between aortic and atrioventricular valves. Am J Cardiol 1971; 28: 621631.CrossRefGoogle ScholarPubMed
Gupta, SK, Ramakrishnan, S, Gulati, GS, et al. Clarifying the anatomy of hearts with concordant ventriculo-arterial connections but abnormally related arterial trunks. Cardiol Young 2016; 26: 118.CrossRefGoogle ScholarPubMed
Kirklin, JW, Pacifico, AD, Bargeronjr, LM, Soto, B. Cardiac repair in anatomically corrected malposition of the great arteries. Circulation 1973; 48: 153159.CrossRefGoogle ScholarPubMed
Cavalle-Garrido, T, Bernasconi, A, Perrin, D, Anderson, RH. Hearts with concordant ventriculoarterial connections but parallel arterial trunks. Heart 2007; 93: 100106.CrossRefGoogle ScholarPubMed
Foran, RB, Belcourt, C, Nanton, MA, et al. Isolated infundibuloarterial inversion (S, D, I): a newly recognized form of congenital heart disease. Am Heart J 1988; 116: 13371350.CrossRefGoogle ScholarPubMed
Bernasconi, A, Cavalle-Garrido, T, Perrin, DG, Anderson, RH. What is anatomically corrected malposition? Cardiol Young 2007; 17: 2634.CrossRefGoogle ScholarPubMed

Nelson et al. supplementary material

Nelson et al. supplementary material

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