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. 1988;15(3):174–182.

Ventriculoarterial Discordance Revisited

Angiographic Presentation and Discussion of a Typical Case

Paolo Angelini 1, Pedro Lopez-Velarde 1, Robert D Leachman 1
PMCID: PMC324821  PMID: 15227248

Abstract

This article reexamines the subject of ventriculoarterial discordance in the light of a case report and the recent literature. The angiographic method of studying complex cardiac defects is illustrated by example, in order to stress the need for a systematic, step-by-step, segmental approach to diagnosis. We favor use of the term “ventriculoarterial” discordance to refer to a defect that involves incongruence of ventricular and arterial morphologies, as predicated on the loop rule. This rule calls for anticipation of certain spatial relationships between aortic and pulmonary trunks, given certain ventricular morphologies: with a right-sided, anatomically right ventricle, for example, the ascending aorta is expected to be on the right side, whether with normally crossed or transposed great vessels (D-loop derivatives). As in the case presented here, ventriculoarterial discordance features the ascending aorta on the opposite side of the anatomically right ventricle. The influence of the formation of an abnormal cardiac apex (as in crisscrossed or superoinferior hearts) on the cardiac segments' configurations is discussed, since this too can affect the spatial relationships between the great vessels. (Texas Heart Institute Journal 1988; 15:174-182)

Keywords: Heart defects, congenital

Keywords: coronary vessel anomalies

Keywords: double outlet right ventricle

Keywords: transposition of great vessels

Keywords: coronary vessel abnormalities

Keywords: coronary vessels/radiography

Keywords: cineangiography

Keywords: nomenclature, medical

Keywords: nomenclature, diagnostic

Keywords: diagnosis, cardiovascular

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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