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. 1982 Nov;48(5):485–492. doi: 10.1136/hrt.48.5.485

Tricuspid atresia: analysis of coronary artery distribution and ventricular morphology.

J E Deanfield, G Tommasini, R H Anderson, F J Macartney
PMCID: PMC482733  PMID: 7138712

Abstract

There is still disagreement concerning the precise nature of the anterior ventricular chamber in "tricuspid atresia". Some argue that it is a right ventricle, while our own previous studies have suggested it is comparable to the outlet chamber seen in classical "single ventricle". We have compared the morphology of the anterior ventricular chambers in 48 examples of tricuspid atresia (absent right atrioventricular connection), 24 hearts with double inlet to the left ventricular chamber, and 15 hearts with pulmonary atresia and intact ventricular septum. Since there is further disagreement concerning the nature of the coronary artery which delimits the posterior extent of the ventricular septum in these hearts, we analysed the position of this vessel relative to external reference points on the atrioventricular junction. No significant difference was found with respect to the morphometry of hearts with tricuspid atresia (absent right atrioventricular connection) and those with double inlet. In both groups, however, significant differences were shown between hearts with ventriculoarterial concordance and discordance. Coronary artery disposition was the same in both groups and different from that found in hearts with pulmonary atresia and intact septum. We conclude that the ventricular morphology is comparable in hearts with tricuspid atresia (absent right atrioventricular connection) and those with double inlet to a left ventricular chamber. The lesions are distinguishable by their atrioventricular connection which is nevertheless univentricular in both.

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Selected References

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

  1. Anderson R. H., Tynan M., Freedom R. M., Quero-Jiménez M., Macartney F. J., Shinebourne E. A., Wilkinson J. L., Becker A. E. Ventricular morphology in the univentricular heart. Herz. 1979 Apr;4(2):184–197. [PubMed] [Google Scholar]
  2. Anderson R. H., Wilkinson J. L., Gerlis L. M., Smith A., Becker A. E. Atresia of the right atrioventricular orifice. Br Heart J. 1977 Apr;39(4):414–428. doi: 10.1136/hrt.39.4.414. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bharati S., McAllister H. A., Jr, Tatooles C. J., Miller R. A., Weinberg M., Jr, Bucheleres H. G., Lev M. Anatomic variations in underdeveloped right ventricle related to tricuspid atresia and stenosis. J Thorac Cardiovasc Surg. 1976 Sep;72(3):383–400. [PubMed] [Google Scholar]
  4. Koiwaya Y., Watanabe K., Orita Y., Nakamura M., Hirata T. Contrast two-dimensional echocardiography in diagnosis of tricuspid atresia. Am Heart J. 1981 Apr;101(4):507–510. doi: 10.1016/0002-8703(81)90147-2. [DOI] [PubMed] [Google Scholar]
  5. LEV M. Pathologic diagnosis of positional variations in cardiac chambers in congenital heart disease. Lab Invest. 1954 Jan-Feb;3(1):71–82. [PubMed] [Google Scholar]
  6. Lev M., Liberthson R. R., Kirkpatrick J. R., Eckner F. A., Arcilla R. A. Single (primitive) ventricle. Circulation. 1969 May;39(5):577–591. doi: 10.1161/01.cir.39.5.577. [DOI] [PubMed] [Google Scholar]
  7. Macartney F. J., Zuberbuhler J. R., Anderson R. H. Morphological considerations pertaining to recognition of atrial isomerism. Consequences for sequential chamber localisation. Br Heart J. 1980 Dec;44(6):657–667. doi: 10.1136/hrt.44.6.657. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Rao P. S., Jue K. L., Isabel-Jones J., Ruttenberg H. D. Ebstein's malformation of the tricuspid valve with atresia. Differentiation from isolated tricuspid atresia. Am J Cardiol. 1973 Dec;32(7):1004–1009. doi: 10.1016/s0002-9149(73)80173-0. [DOI] [PubMed] [Google Scholar]
  9. Rigby M. L., Anderson R. H., Gibson D., Jones O. D., Joseph M. C., Shinebourne E. A. Two dimensional echocardiographic categorisation of the univentricular heart. Ventricular morphology, type, and mode of atrioventricular connection. Br Heart J. 1981 Dec;46(6):603–612. doi: 10.1136/hrt.46.6.603. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. VANPRAAGH R., ONGLEY P. A., SWAN H. J. ANATOMIC TYPES OF SINGLE OR COMMON VENTRICLE IN MAN. MORPHOLOGIC AND GEOMETRIC ASPECTS OF 60 NECROPSIED CASES. Am J Cardiol. 1964 Mar;13:367–386. doi: 10.1016/0002-9149(64)90453-9. [DOI] [PubMed] [Google Scholar]
  11. Vitarelli A., Gallo P., D'Addio A. P., Colarizi P., Colloridi V., Gheorghiade M. Valutazione dell'atresia della tricuspide mediante ecocardiografia. I) Analisi morfologica. G Ital Cardiol. 1981;11(3):321–329. [PubMed] [Google Scholar]

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