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8 - Lesions with Normal Segmental Connections

Published online by Cambridge University Press:  10 April 2024

Robert H. Anderson
Affiliation:
Institute of Genetic Medicine, Newcastle University
Andrew C. Cook
Affiliation:
University College London
Diane E. Spicer
Affiliation:
University of Florida
Anthony M. Hlavacek
Affiliation:
Medical University of South Carolina
Carl L. Backer
Affiliation:
Cincinnati Children's Hospital
Justin T. Tretter
Affiliation:
Cleveland Clinic, Ohio
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Summary

Understanding the anatomy of septal defects is greatly facilitated if the heart is thought of as having three distinct septal structures: the atrial septum, the atrioventricular septum, and the ventricular septum (Figure 8.1.1). The normal atrial septum is relatively small. It is made up, for the most part, by the floor of the oval fossa. When viewed from the right atrial aspect, the fossa has a floor, surrounded by rims. As we have shown in Chapter 2, the floor is derived from the primary atrial septum, or septum primum. Although often considered to represent a secondary septum, or septum secundum, the larger parts of the rims, specifically the superior, antero-superior, and posterior components, are formed by infoldings of the adjacent right and left atrial walls.1 Infero-anteriorly, in contrast, the rim of the fossa is a true muscular septum (Figure 8.1.2).

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Publisher: Cambridge University Press
Print publication year: 2024

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References

References Cited

Jensen, B, Spicer, DE, Sheppard, MN, Anderson, RH. Development of the atrial septum in relation to postnatal anatomy and interatrial communications. Heart 2017; 103: 456462.CrossRefGoogle ScholarPubMed
Anderson, RH, Brown, NA. The anatomy of the heart revisited. Anat Rec 1996; 246: 17.3.0.CO;2-Y>CrossRefGoogle ScholarPubMed
Tretter, JT, Spicer, DE, Sánchez-Quintana, D, et al. Miniseries 1 – part III: ‘behind the scenes’ in the triangle of Koch. EP Europace 2022; 24: 455463.CrossRefGoogle ScholarPubMed
Loomba, RS, Tretter, JT, Mohun, TJ, et al. Identification and morphogenesis of vestibular atrial septal defects. J Cardiovasc Devel Dis 2020; 7: 35.Google ScholarPubMed
Anderson, RH, Ho, SY, Falcao, S, Daliento, L, Rigby, ML. The diagnostic features of atrioventricular septal defect with common atrioventricular junction. Cardiol Young 1998; 8: 3349.CrossRefGoogle ScholarPubMed
Crystal, MA, Al Najashi, K, Williams, WG, Redington, AN, Anderson, RH. Inferior sinus venosus defect: echocardiographic diagnosis and surgical approach. J Thorac Cardiovasc Surg 2009; 137: 13491355.CrossRefGoogle ScholarPubMed
Butts, RJ, Crean, AM, Hlavacek, AM, et al. Veno-venous bridges: the forerunners of the sinus venosus defect. Cardiol Young 2011; 21: 623630.CrossRefGoogle ScholarPubMed
Ettedgui, JA, Siewers, RD, Anderson, RH, Zuberbuhler, JR. Diagnostic echocardiographic features of the sinus venous defect. Br Heart J 1990; 64: 329331.CrossRefGoogle Scholar
Relan, J, Gupta, SK, Rajagopal, R, et al. Clarifying the anatomy of the superior sinus venosus defect. Heart 2022; 108: 689694.CrossRefGoogle ScholarPubMed
Knauth, A, McCarthy, KP, Webb, S, et al. Interatrial communication through the mouth of the coronary sinus defect. Cardiol Young 2002; 12: 364372.CrossRefGoogle Scholar
Stewart, RD, Bailliard, F, Kelle, AM, et al. Evolving surgical strategy for sinus venosus atrial septal defect: effect in sinus node function and late venous obstruction. Ann Thorac Surg 2007; 84: 16511658.CrossRefGoogle ScholarPubMed
Warden, HE, Gustafson, RA, Tarnay, TJ, Neal, WA. An alternative method for repair of partial anomalous venous connection to the superior vena cava. Ann Thorac Surg 1984; 38: 601605.CrossRefGoogle Scholar

References Cited

Becker, AE, Anderson, RH. Atrioventricular septal defects. What’s in a name? J Thorac Cardiovasc Surg 1982; 83: 461469.CrossRefGoogle Scholar
Gerbode, F, Hultgren, H, Melrose, D, Osborn, J. Syndrome of left ventricular–right atrial shunt, successful surgical repair of defect in five cases with observation of bradycardia on closure. Ann Surg 1958; 148: 433446.CrossRefGoogle ScholarPubMed
Kelle, AM, Young, L, Kaushal, S, et al. The Gerbode defect: the significance of a left ventricular to right atrial shunt. Cardiol Young 2009; 19 (Suppl.2): 9699.CrossRefGoogle ScholarPubMed
Lacour-Gayet, F, Campbell, DN, Mitchell, M, Malhotta, S, Anderson, RH. Surgical repair of atrioventricular septal defect with common atrioventricular junction Cardiol Young 2006; 16 (Suppl.3): 5258.CrossRefGoogle Scholar
Wilcox, BR, Anderson, RH, Henry, GW, Mattos, SS. Unusual opening of coronary sinus in atrioventricular septal defects. Ann Thorac Surg 1990; 50: 767770.CrossRefGoogle ScholarPubMed
Penkoske, PA, Neches, WH, Anderson, RH, Zuberbuhler, JR. Further observations on the morphology of atrioventricular septal defects. J Thorac Cardiovasc Surg 1985; 90: 611622.CrossRefGoogle ScholarPubMed
Rastelli, GC, Kirklin, JW, Titus, JL. Anatomic observations on complete form of persistent common atrioventricular canal with special reference to atrioventricular valves. Proc Staff Meet Mayo Clin 1966; 41: 296308.Google ScholarPubMed
Sigfusson, G, Ettedgui, JA, Silverman, NH, Anderson, RH. Is a cleft in the anterior leaflet of an otherwise normal mitral valve an atrioventricular canal malformation? J Am Coll Cardiol 1995; 26: 508515.CrossRefGoogle ScholarPubMed
Yoshitake, S, Kaneko, Y, Morita, K, et al.; SPring 8 Cardiovascular Structure Analyzing Research Group. Reassessment of the location of the conduction system in atrioventricular septal defect using phase-contrast computed tomography. Sem Thorac Cardiovasc Surg 2020; 32: 960968.CrossRefGoogle ScholarPubMed
Wilcox, BR, Jones, DR, Frantz, EG, et al. An anatomically sound, simplified approach to repair of ‘complete’ atrioventricular septal defect. Ann Thorac Surg 1997; 64: 487494.CrossRefGoogle ScholarPubMed
Nicholson, IA, Nunn, GR, Sholler, GF, et al. Simplified single patch technique for the repair of atrioventricular septal defect. J Thorac Cardiovasc Surg 1999; 118: 642646.CrossRefGoogle ScholarPubMed
Karl, TR, Provenzano, SC, Nunn, GR, Anderson, RH. The current surgical perspective to repair of atrioventricular septal defect with common atrioventricular junction. Cardiol Young 2010; 20 (Suppl.3): 120127.CrossRefGoogle ScholarPubMed
Ebels, T, Ho, SY, Anderson, RH, Meijboom, EJ, Eigelaar, A. The surgical anatomy of the left ventricular outflow tract in atrioventricular septal defect. Ann Thorac Surg 1986; 41: 483488.CrossRefGoogle ScholarPubMed
Piccoli, GP, Ho, SY, Wilkinson, JL, et al. Left sided obstructive lesions in atrioventricular septal defects. J Thorac Cardiovasc Surg 1982; 83: 453460.CrossRefGoogle ScholarPubMed
Pillai, R, Ho, SY, Anderson, RH, Shinebourne, EA, Lincoln, C. Malalignment of the interventricular septum with atrioventricular septal defect: its implications concerning conduction tissue disposition. Thorac Cardiovasc Surgeon 1984; 32: 13.CrossRefGoogle ScholarPubMed
Milo, S, Ho, SY, Macartney, FJ, et al. Straddling and overriding atrioventricular valves morphology and classification. Am J Cardiol 1979; 44: 11221134.CrossRefGoogle Scholar

References Cited

Soto, B, Becker, AE, Moulaert, AJ, Lie, JT, Anderson, RH. Classification of ventricular septal defects. Br Heart J 1980; 43: 332343.CrossRefGoogle ScholarPubMed
Tretter, JT, Tran, VH, Gray, S, et al. Assessing the criteria for definition of perimembranous ventricular septal defects in light of the search for consensus. Orphanet J 2019; 14: 1.Google ScholarPubMed
Lopez, L, Houyel, L, Colan, SD, et al. Classification of ventricular septal defects for the eleventh iteration of the International Classification of Diseases – striving for consensus: a report from the International Society for Nomenclature of Paediatric and Congenital Heart Disease. Ann Thor Surg 2018; 106: 15781589.CrossRefGoogle ScholarPubMed
Wells, WJ, Lindesmith, GG. Ventricular septal defect. In Arciniegas, E, ed., Pediatric Cardiac Surgery. Chicago: Year Book Medical Publishers; 1985: pp. 133139.Google Scholar
Van Praagh, R, Geva, T, Kreutzer, J. Ventricular septal defects: how shall we describe, name and classify them? J Am Coll Cardiol 1989; 14: 12981299.CrossRefGoogle Scholar
Milo, S, Ho, SY, Wilkinson, JL, Anderson, RH. The surgical anatomy and atrioventricular conduction tissues of hearts with isolated ventricular septal defects. J Thorac Cardiovasc Surg 1980; 79: 244255.CrossRefGoogle ScholarPubMed
Spicer, DE, Anderson, RH, Backer, CL. Clarifying the surgical morphology of inlet ventricular septal defects. Ann Thor Surg 2013 95: 236241.CrossRefGoogle ScholarPubMed
Van Praagh, R, McNamara, JJ. Anatomic types of ventricular septal defect with aortic insufficiency. Diagnostic and surgical considerations. Am Heart J 1968; 75: 604619.CrossRefGoogle ScholarPubMed
Kawashima, Y, Danno, M, Shimizu, Y, Matsuda, H, Miyamoto, T. Ventricular septal defect associated with aortic insufficiency: anatomic classification and method of operation. Circulation 1973; 47: 10571064.CrossRefGoogle ScholarPubMed
Spicer, DE, Anderson, RH, Chowdhury, UK, et al. A reassessment of the anatomical features of multiple ventricular septal defects. J Card Surg 2022; 37: 13531360.CrossRefGoogle ScholarPubMed
Chowdhury, UK, Anderson, RH, Spicer, DE, et al. A review of the therapeutic management of multiple ventricular septal defects. J Card Surg 2022; 37: 13611376.CrossRefGoogle ScholarPubMed
Devlin, PJ, Russell, HM, Mongé, MC, et al. Doubly committed and juxtaarterial ventricular septal defect: outcomes of the aortic and pulmonary valves. Ann Thor Surg 2014; 97: 21342141.CrossRefGoogle ScholarPubMed
Edgar, LJ, Anderson, RH, Stickley, J, Crucean, A. Borders as opposed to so-called geography: which should be used to classify isolated ventricular septal defects? Eur J Cardio-Thorac Surg 2020; 58: 801808.CrossRefGoogle Scholar
Pacifico, AD, Soto, B, Bargeron, LMJ. Surgical treatment of straddling tricuspid valves. Circulation 1979; 60: 655664.CrossRefGoogle ScholarPubMed

References Cited

Milo, S, Ho, SY, Macartney, FJ, et al. Straddling and overriding atrioventricular valves morphology and classification. Am J Cardiol 1979; 44: 11221134.CrossRefGoogle Scholar
Pacifico, AD, Soto, B, Bargeron, LMJ. Surgical treatment of straddling tricuspid valves. Circulation 1979; 60: 655664.CrossRefGoogle ScholarPubMed
Chauvaud, SM, Mihaileanu, SA, Gaer, JAR, Carpentier, AC. Surgical treatment of Ebstein’s malformation – the ‘Hôpital Broussas’ experience. Cardiol Young 1996; 6: 411.CrossRefGoogle Scholar
Schreiber, C, Cook, A, Ho, SY, Augustin, N, Anderson, RH. Morphologic spectrum of Ebstein’s malformation: revisitation relative to surgical repair. J Thorac Cardiovasc Surg 1999: 117: 148155.CrossRefGoogle ScholarPubMed
Leung, MP, Baker, EJ, Anderson, RH, Zuberbuhler, JR. Cineangiographic spectrum of Ebstein’s malformation: its relevance to clinical presentation and outcome. J Am Coll Cardiol 1988; 11: 154161.CrossRefGoogle ScholarPubMed
da Silva, JP, da Silva, LD. Ebstein’s anomaly of the tricuspid valve: the cone repair. Sem Thorac Cardiovasc Surg 2012; 15: 3845.CrossRefGoogle ScholarPubMed
Ruschhaupt, DG, Bharati, S, Lev, M. Mitral valve malformation of Ebstein type in absence of corrected transposition. Am J Cardiol 1976; 38: 109112.CrossRefGoogle ScholarPubMed
Leung, M, Rigby, ML, Anderson, RH, Wyse, RKH, Macartney, FJ. Reversed off–setting of the septal attachments of the atrioventricular valves and Ebstein’s malformation of the morphologically mitral valve. Br Heart J 1987; 57: 184187.CrossRefGoogle Scholar
Becker, AE, Becker, MJ, Edwards, JE. Pathologic spectrum of dysplasia of the tricuspid valve, features in common with Ebstein’s malformation. Arch Pathol 1971; 91: 167178.Google ScholarPubMed
Oberhoffer, R, Cook, AC, Lang, D, et al. Correlation between echocardiographic and morphological investigations of lesions of the tricuspid valve diagnosed during fetal life. Br Heart J 1992; 68: 580585.CrossRefGoogle ScholarPubMed
Van der Bel–Kahn, J, Duren, DR, Becker, AE. Isolated mitral valve prolapse: chordal architecture as an anatomic basis in older patients. J Am Coll Cardiol 1985; 5: 13351340.CrossRefGoogle ScholarPubMed
Layman, TE, Edwards, JE. Anomalous mitral arcade: a type of congenital mitral insufficiency. Circulation 1967; 35: 389395.CrossRefGoogle Scholar
Rosenquist, GC : Congenital mitral valve disease associated with coarctation of the aorta. A spectrum that includes parachute deformity of the mitral valve. Circulation 1974; 49: 985993.CrossRefGoogle ScholarPubMed
Shone, JD, Sellers, RD, Anderson, RC, et al. The developmental complex of ‘parachute mitral valve’, supravalvular ring of left atrium, subaortic stenosis, and coarctation of the aorta. Am J Cardiol 1963; 11: 714725.CrossRefGoogle Scholar
Milo, S, Stark, J, Macartney, FJ, Anderson, RH. Parachute deformity of the tricuspid valve (case report). Thorax 1979; 34: 543546.CrossRefGoogle Scholar
Stamm, C, Anderson, RH, Ho, SY. Clinical anatomy of the normal pulmonary root compared with that in isolated pulmonary valvular stenosis. J Am Coll Cardiol 1998; 31: 14201425.CrossRefGoogle ScholarPubMed
Sievers, HH, Hemmer, G, Beyersdorf, F, et al. The everyday used nomenclature of the aortic root components: the Tower of Babel? Eur J Cardiothoracic Surg 2012; 41: 478482.CrossRefGoogle ScholarPubMed
Anderson, RH. Clinical anatomy of the aortic root. Heart 2000; 84: 670673.CrossRefGoogle ScholarPubMed
Tretter, JT, Spicer, DE, Mori, S, et al. The significance of the interleaflet triangles in determining the morphology of congenitally abnormal aortic valves: implications for noninvasive imaging and surgical management. JASE 2016; 29: 11311143.Google ScholarPubMed
Tretter, JT, Spicer, DE, Franklin, RCG, et al. Describing the normal and congenitally malformed aortic root – the view from specialists in Congenital Cardiac Disease. Ann Thor Surg 2023; 116: 616.CrossRefGoogle Scholar
Angelini, A, Ho, SY, Anderson, RH, et al. The morphology of the normal aortic valve as compared with the aortic valve having two leaflets. J Thorac Cardiovasc Surg 1989; 98: 362367.CrossRefGoogle ScholarPubMed
Tretter, JT, Mori, S, Spicer, DE, Anderson, RH. The aortic valve with four leaflets: how should we best describe this blue moon? Eur Heart J-Cardiovasc Imag 2021; 22: 777780.CrossRefGoogle ScholarPubMed
Vollebergh, FEMG, Becker, AE. Minor congenital variations in cusp size in tricuspid aortic valves. Possible link with isolated aortic stenosis. Br Heart J 1977; 39: 10061011.CrossRefGoogle ScholarPubMed
McKay, R, Ross, DN. Technique for the relief of discrete subaortic stenosis. J Thorac Cardiovasc Surg 1982; 84: 917920.Google ScholarPubMed
Moulaert, AJ, Oppenheimer–Dekker, A. Anterolateral muscle bundle of the left ventricle, bulboventricular flange and subaortic stenosis. Am J Cardiol 1976; 37: 7881.CrossRefGoogle ScholarPubMed
Anderson, RH, Lenox, CC, Zuberbuhler, JR. Morphology of ventricular septal defect associated with coarctation of the aorta. Br Heart J 1983; 50: 176181.CrossRefGoogle Scholar
Morrow, AG. Hypertrophic subaortic stenosis: operative methods utilised to relieve left ventricular outflow obstruction. J Thorac Cardiovasc Surg 1978; 76: 423430.CrossRefGoogle ScholarPubMed
Stamm, C, Li, J, Ho, SY, Redington, AN, Anderson, RH. The aortic root in supravalvar aortic stenosis: the potential surgical relevance of morphologic findings. J Thorac Cardiovasc Surg 1997; 114: 1624.CrossRefGoogle ScholarPubMed
Doty, DB, Polansky, DB, Jenson, CB. Supravalvular aortic stenosis. Repair by extended aortoplasty. J Thorac Cardiovasc Surg 1977; 74: 362371.CrossRefGoogle ScholarPubMed
Frantz, PJ, Murray, GF, Wilcox, BR. Surgical management of left ventricular–aortic discontinuity complicating bacterial endocarditis. Ann Thorac Surg 1980; 29: 17.CrossRefGoogle ScholarPubMed
Gilbert, JW, Morrow, AG, Talbert, JW. The surgical significance of hypertrophic infundibular obstruction accompanying valvar pulmonary stenosis. J Thorac Cardiovasc Surg 1963; 46: 457467.CrossRefGoogle Scholar
Haworth, SG, Macartney, FJ. Growth and development of pulmonary circulation in pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries. Br Heart J 1980; 44: 1424.CrossRefGoogle ScholarPubMed

References Cited

Anderson, RH, Tynan, M. Tetralogy of Fallot – a centennial review. Int J Cardiol 1988; 21: 219232.CrossRefGoogle ScholarPubMed
Aiello, VD, Spicer, DE, Anderson, RH, Brown, NA, Mohun, TJ. The independence of the infundibular building blocks in the setting of double-outlet right ventricle. Cardiol Young 2017; 27: 825836.CrossRefGoogle ScholarPubMed
Anderson, RH, Allwork, SP, Ho, SY, Lenox, CC, Zuberbuhler, JR. Surgical anatomy of tetralogy of Fallot. J Thorac Cardiovasc Surg 1981; 81: 887896.CrossRefGoogle ScholarPubMed
Suzuki, A, Ho, S Y, Anderson, RH, Deanfield, JE. Further morphologic studies on tetralogy of Fallot, with particular emphasis on the prevalence and structure of the membranous flap. J Thorac Cardiovasc Surg 1990; 99: 528535.CrossRefGoogle ScholarPubMed
Titus, JL, Daugherty, GW, Edwards, JE. Anatomy of the atrioventricular conduction system in ventricular septal defect. Circulation 1963; 28: 7281.CrossRefGoogle ScholarPubMed
Anderson, RH, Monro, JL, Ho, SY, Smith, A, Deverall, PB. Les voies de conduction auriculo–ventriculaires dans le tetralogie de Fallot. Coeur 1977; 8: 793807.Google Scholar
Neirotti, R, Galindez, E, Kreutzer, G, et al. Tetralogy of Fallot with sub-pulmonary ventricular septal defect. Ann Thorac Surg 1978; 25: 5156.CrossRefGoogle Scholar
Griffin, ML, Sullivan, ID, Anderson, RH, Macartney, FJ. Doubly committed subarterial ventricular septal defect: new morphological criteria with echocardiographic and angiocardiographic correlation. Br Heart J 1988; 59: 474479.CrossRefGoogle ScholarPubMed
Blackstone, EH, Kirklin, JW, Bertranou, EG, et al. Preoperative prediction from cineangiograms of post–repair right ventricular pressure in tetralogy of Fallot. J Thorac Cardiovasc Surg 1979; 78: 542552.CrossRefGoogle Scholar
Kirklin, JW, Blackstone, EH, Pacifico, AD, Brown, RN, Bargeron, LM Jr. Routine primary repair versus two-stage repair of tetralogy of Fallot. Circulation 1979; 60: 373385.CrossRefGoogle Scholar
McFadden, PM, Culpepper, WS, Ochsner, J. Iatrogenic right ventricular failure in tetralogy of Fallot repairs: reappraisal of a distressing problem. Ann Thorac Surg 1982; 33: 400402.CrossRefGoogle ScholarPubMed
Alva, C, Ho, SY, Lincoln, CR, et al. The nature of the obstructive muscular bundles in double–chambered right ventricle. J Thorac Cardiovasc Surg 1999; 117: 11801189.CrossRefGoogle ScholarPubMed
Pandey, NN, Bhambri, K, Verma, M, et al. Anomalies of coronary arteries in tetralogy of Fallot: evaluation on multidetector CT angiography using dual-source scanner. J Card Surg 2021; 36: 23732380.CrossRefGoogle ScholarPubMed
Alfieri, OA, Blackstone, EH, Kirklin, JW, et al. Surgical treatment of tetralogy of Fallot with pulmonary atresia. J Thorac Cardiovasc Surg 1978; 76: 321335.CrossRefGoogle ScholarPubMed
Macartney, FJ, Scott, O, Deverall, PB. Haemodynamic and anatomical characteristics of pulmonary blood supply in pulmonary atresia with ventricular septal defect–including a case of persistent fifth aortic arch. Br Heart J 1974; 36: 10491060.CrossRefGoogle Scholar
Pahl, E, Fong, L, Anderson, RH, Park, SC, Zuberbuhler, JR. Fistulous communications between a solitary coronary artery and the pulmonary arteries as the primary source of pulmonary blood supply in tetralogy of Fallot with pulmonary valve atresia. Am J Cardiol 1989; 63: 140143.CrossRefGoogle ScholarPubMed
Rossi, RN, Hislop, A, Anderson, RH, Maymone Martins, F, Cook, AC. Systemic-to-pulmonary blood supply in tetralogy of Fallot with pulmonary atresia. Cardiol Young 2002; 12: 373388.CrossRefGoogle ScholarPubMed
Freedom, RM, Dische, MR, Rowe, RD. The tricuspid valve in pulmonary atresia with intact ventricular septum. A morphological study of 60 cases. Arch Pathol Lab Med 1978; 102: 2831.Google Scholar
Zuberbuhler, JR, Anderson, RH. Morphological variations in pulmonary atresia with intact ventricular septum. Br Heart J 1979; 41: 281288.CrossRefGoogle ScholarPubMed
Anderson, RH, Anderson, C, Zuberbuhler, JR. Further morphologic studies on hearts with pulmonary atresia and intact ventricular septum. Cardiol Young 1991; 1: 105114.CrossRefGoogle Scholar
Bull, C, de Leval, MR, Mercanti, C, Macartney, FJ, Anderson, RH. Pulmonary atresia with intact ventricular septum: a revised classification. Circulation 1982; 66: 266271.CrossRefGoogle ScholarPubMed
Pawade, A, Capuani, A, Penny, DJ, Karl, TR, Mee, RB. Pulmonary atresia with intact ventricular septum: surgical management based on right ventricular infundibulum. J Card Surg 1993; 8: 371383.CrossRefGoogle ScholarPubMed
Macartney, FJ, Miller, GAH. Congenital absence of the pulmonary valve. Br Heart J 1970; 32: 483490.CrossRefGoogle ScholarPubMed
Emmanouilides, GC, Thanopoulos, B, Siassi, B, Fishbein, M. Agenesis of ductus arteriosus associated with the syndrome of tetralogy of Fallot and absent pulmonary valve. Am J Cardiol 1976; 37: 403409.CrossRefGoogle Scholar

References Cited

Noonan, JA, Nadas, AS. The hypoplastic left heart syndrome: an analysis of 101 cases. Ped Clin North Am 1958; 5: 10291056.CrossRefGoogle ScholarPubMed
Lev, M. Pathologic anatomy and interrelationship of the hypoplasia of the aortic tract complex. Lab Invest 1952; 1: 6170.Google Scholar
Lev, ML. Some newer concepts of the pathology of congenital heart disease. Med Clin North Am 1966; 50: 314.CrossRefGoogle ScholarPubMed
Stephens, EH, Gupta, D, Bleiweis, M, et al. Pathologic characteristics of 119 archived specimens showing the phenotypic features of hypoplastic left heart syndrome. Semin Thorac Cardiovasc Surg 2020; 32: 895903.CrossRefGoogle ScholarPubMed
Anderson, RH, Spicer, DE, Crucean, A. Clarification of the definition of hypoplastic left heart syndrome. Nature Reviews Cardiol 2021; 18: 147148.CrossRefGoogle ScholarPubMed
Mickell, JJ, Mathews, RA, Anderson, RH, et al. The anatomical heterogeneity of hearts lacking a patent communication between the left atrium and the ventricular mass (‘mitral atresia’) in presence of a patent aortic valve. Eur Heart J 1983; 4: 477486.CrossRefGoogle ScholarPubMed
Crucean, A, Alqahtani, A, Barron, DJ, et al. Re-evaluation of hypoplastic left heart syndrome from a developmental and morphological perspective. Orphanet J 2017; 12: 1.Google ScholarPubMed
Fontan, F, Baudet, E. Surgical repair of tricuspid atresia. Thorax 1971; 26: 240248.CrossRefGoogle ScholarPubMed
Jacobs, ML, Anderson, RH. Nomenclature of the functionally univentricular heart. Cardiol Young 2006; 16 (Suppl.1): 38.CrossRefGoogle ScholarPubMed
Tchervenkov, CI, Tahta, SA, Jutras, LC, Béland, MJ. Biventricular repair in neonates with hypoplastic left heart complex. Ann Thor Surg 1998; 66: 13501356.CrossRefGoogle ScholarPubMed
Gittenberger-de Groot, AC. Wenink, A. Mitral atresia. Morphological details. Br Heart J 1984; 51: 252258.CrossRefGoogle ScholarPubMed
Li, W, Li, J, Chen, X. A rare case of congenital heart disease: anomalous origin of coronary artery from innominate artery with coronary fistula and truncus arteriosus. Cardiol Young 2021; 31; 13451347.CrossRefGoogle ScholarPubMed
O’Connor, WN, Cash, JB, Cottrill, CM, Johnson, GL, Noonan, JA. Ventriculocoronary connections in hypoplastic left hearts: an autopsy microscopic study. Circulation 1982; 66: 10781086.CrossRefGoogle ScholarPubMed
Norwood, WI, Lang, P, Hansen, DD. Physiologic repair of aortic atresia-hypoplastic left heart syndrome. NEJM 1983; 308: 2326.CrossRefGoogle ScholarPubMed
Stamm, C, Anderson, RH, Ho, SY. The morphologically tricuspid valve in hypoplastic left heart syndrome. Eur J Cardio-thorac Surg 1997; 12: 587592.CrossRefGoogle ScholarPubMed
Barber, G, Helton, JG, Aglira, BA, et al. The significance of tricuspid regurgitation in hypoplastic left-heart syndrome. Am Heart J 1988; 116: 15631567.CrossRefGoogle ScholarPubMed
Weinberg, PM, Chin, AJ, Murphy, JD, Pigott, JD, Norwood, WI. Postmortem echocardiography and tomographic anatomy of hypoplastic left heart syndrome after palliative surgery. Am J Cardiol 1986; 58: 12281232.CrossRefGoogle ScholarPubMed
Rychik, J, Rome, JJ, Collins, MH, DeCampli, WM, Spray, TL. The hypoplastic left heart syndrome with intact atrial septum: atrial morphology, pulmonary vascular histopathology and outcome. J Am Coll Cardiol 1999; 34: 554560.CrossRefGoogle ScholarPubMed
Ho, SY, Anderson, RH. Coarctation, tubular hypoplasia, and the ductus arteriosus. Histological study of 35 specimens. Br Heart J 1979; 41: 268274.CrossRefGoogle ScholarPubMed
Aiello, VD, Ho, SY, Anderson, RH, Thiene, G. Morphologic features of the hypoplastic left heart syndrome – a reappraisal. Ped Pathol 1990; 10: 931943.CrossRefGoogle ScholarPubMed

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