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Subpulmonary tag originating from both sides of the ventricular septum in congenitally corrected transposition

Published online by Cambridge University Press:  19 August 2008

John J. O'Sullivan ,
Desmond J. Farrell  and
Archibald S. Hunter
John J. O'Sullivan*
Affiliation:
From the Departments of Paediatric Cardiology, Freeman HospitalNewcastle-upon- Tyne
Desmond J. Farrell
Affiliation:
From the Departments of Paediatric Cardiology and PathologyFreeman Hospital, Newcastle-upon- Tyne
Archibald S. Hunter
Affiliation:
From the Departments of Paediatric Cardiology, Freeman HospitalNewcastle-upon- Tyne
*
Dr. J. J. O'Sullivan, Senior Registrar in Paediatric Cardiology, Freeman Hospital. Newcastle-upon-Tyne, NE7 7DN, United Kingdom. Tel. (091) 284 3111; Fax. (091) 213 1968.
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Abstract

Obstruction to the left ventricular outflow tract is not uncommon in patients with congenitally corrected transposition. A case of congenitally corrected transposition is described with significant subpulmonary obstruction which was due to a subpulmonary tag. The patient required an aortopulmonary shunt. Her clinical course was subsequently significantly influenced by arrhythmias associated with an accessory pathway. She died suddenly from an arrhythmia. Post-mortem examination confirmed a large subpulmonary tag which originated from both sides of the ventricular septum—a previously unreported finding. Careful evaluation of the nature of left ventricular outflow obstruction is important in this condition as it may alter the surgical management.

Keywords

Congenital heart diseasecongenitally corrected transposition
Type
Brief Reports
Information
Cardiology in the Young , Volume 3 , Issue 1 , January 1993 , pp. 82 - 84
Copyright
Copyright © Cambridge University Press 1993

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References

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