Abstract
A complex congenital cardiac malformation in a female patient was evaluated several times by angiocardiography and echocardiography in childhood but a definite diagnosis was not established. Segmental analysis of the heart and the great vessels by magnetic resonance imaging when the patient was 34, however, showed a double outlet left ventricle in which the aorta was situated anterior to and to the left of the pulmonary trunk and an associated subaortic ventricular septal defect with pulmonary valve stenosis. This is the first time that this extremely rare cardiac malformation has been diagnosed by magnetic resonance imaging.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Brandt P. W., Calder A. L., Barratt-Boyes B. G., Neutze J. M. Double outlet left ventricle. Morphology, cineangiocardiographic diagnosis and surgical treatment. Am J Cardiol. 1976 Dec;38(7):897–909. doi: 10.1016/0002-9149(76)90803-1. [DOI] [PubMed] [Google Scholar]
- Coto E. O., Jimenez M. Q., Castaneda A. R., Rufilanchas J. J., Deverall P. B. Double outlet from chambers of left ventricular morphology. Br Heart J. 1979 Jul;42(1):15–21. doi: 10.1136/hrt.42.1.15. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Diethelm L., Déry R., Lipton M. J., Higgins C. B. Atrial-level shunts: sensitivity and specificity of MR in diagnosis. Radiology. 1987 Jan;162(1 Pt 1):181–186. doi: 10.1148/radiology.162.1.3786759. [DOI] [PubMed] [Google Scholar]
- Dinsmore R. E., Wismer G. L., Guyer D., Thompson R., Liu P., Stratemeier E., Miller S., Okada R., Brady T. Magnetic resonance imaging of the interatrial septum and atrial septal defects. AJR Am J Roentgenol. 1985 Oct;145(4):697–703. doi: 10.2214/ajr.145.4.697. [DOI] [PubMed] [Google Scholar]
- Guit G. L., Bluemm R., Rohmer J., Wenink A. C., Chin J. G., Doornbos J., van Voorthuisen A. E. Levotransposition of the aorta: identification of segmental cardiac anatomy using MR imaging. Radiology. 1986 Dec;161(3):673–679. doi: 10.1148/radiology.161.3.3786718. [DOI] [PubMed] [Google Scholar]
- Kersting-Sommerhoff B. A., Diethelm L., Stanger P., Dery R., Higashino S. M., Higgins S. S., Higgins C. B. Evaluation of complex congenital ventricular anomalies with magnetic resonance imaging. Am Heart J. 1990 Jul;120(1):133–142. doi: 10.1016/0002-8703(90)90170-3. [DOI] [PubMed] [Google Scholar]
- VANMIEROP L. H., WIGLESWORTH F. W. PATHOGENESIS OF TRANSPOSITION COMPLEXES. II. ANOMALIES DUE TO FAULTY TRANSFER OF THE POSTERIOR GREAT ARTERY. Am J Cardiol. 1963 Aug;12:226–232. doi: 10.1016/0002-9149(63)90312-6. [DOI] [PubMed] [Google Scholar]