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. 1975 Oct;37(10):993–1013. doi: 10.1136/hrt.37.10.993

Anatomically corrected malposition of great arteries.

R H Anderson, A E Becker, T G Losekoot, L M Gerlis
PMCID: PMC482912  PMID: 1191424

Abstract

Four anomalous hearts are described in which the great arteries arise in unusual fashion from their morphologically appropriate ventricles. This malformation, previously termed anatomically corrected transposition, is now termed anatomically corrected malposition. This is because, following the precedent of Van Praagh and his associates, we now reserve the term 'transposition' to describe the situation in which both great arteries arise from separate morphologically inappropriate ventricles. All the hearts examined exhibited atrioventricular concordance, I with viscero-atrial situs inversus, and 3 with situs solitus. However, there were considerable variations in ventricular morphology between the cases. Thus, 2 cases exhibited atresia of the right atrioventricular valve, and in the remaining 2 cases right and levt ventricular sinuses were both identified. Two of the cases also had pulmonary atresia, and coronary artery anomalies were present in all 4. The cases emphasize the fact that the term anatomically corrected malposition describes not a discrete anomaly but only a ventriculo-arterial relation, which is one of ventriculo-arterial concordance. Doubt has previously been cast upon the existence of this as an anatomical entity. It is concluded that the relation does indeed exist, and furthermore can coexist with all varieties of atrioventricular relations. It is suggested that the differing atrioventricular relations can be distinguished by usage of the terms 'concordant' or 'discordant' anatomically corrected malposition. Finally, it is emphasized that it is necessary to distinguish this anomaly, which in most cases presents with left-sided anterior aorta, from the left-sided anterior aorta more frequently encountered in classically corrected transposition'.

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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., Arnold R., Jones R. S. D-bulboventricular loop with L-transposition in situs inversus. Circulation. 1972 Jul;46(1):173–179. doi: 10.1161/01.cir.46.1.173. [DOI] [PubMed] [Google Scholar]
  2. Anderson R. H., Arnold R., Wilkinson J. L. The conducting system in congenitally corrected transposition. Lancet. 1973 Jun 9;1(7815):1286–1288. doi: 10.1016/s0140-6736(73)91299-3. [DOI] [PubMed] [Google Scholar]
  3. Anderson R. H., Becker A. E., Arnold R., Wilkinson J. L. The conducting tissues in congenitally corrected transposition. Circulation. 1974 Nov;50(5):911–923. doi: 10.1161/01.cir.50.5.911. [DOI] [PubMed] [Google Scholar]
  4. Anderson R. H., Shinebourne E. A., Gerlis L. M. Criss-cross atrioventricular relationships producing paradoxical atrioventricular concordance or discordance. Their significance to nomenclature of congenital heart disease. Circulation. 1974 Jul;50(1):176–180. doi: 10.1161/01.cir.50.1.176. [DOI] [PubMed] [Google Scholar]
  5. Anderson R. H., Wilkinson J. L., Arnold R., Lubkiewicz K. Morphogenesis of bulboventricular malformations. I. Consideration of embryogenesis in the normal heart. Br Heart J. 1974 Mar;36(3):242–255. doi: 10.1136/hrt.36.3.242. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. CAMPBELL M., DEUCHAR D. C. DEXTROCARDIA AND ISOLATED LAEVOCARDIA. I. ISOLATED LAEVOCARDIA. Br Heart J. 1965 Jan;27:69–82. doi: 10.1136/hrt.27.1.69. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. CAMPBELL M., FORGACS P. Laevocardia with transposition of the abdominal viscera. Br Heart J. 1953 Oct;15(4):401–422. doi: 10.1136/hrt.15.4.401. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. De la Cruz M. V., Amoedo M., Rivera F., Attie F. Arterioventricular relations and their classification. Two specimens of arterioventricular discordance and review of published reports. Br Heart J. 1974 Jun;36(6):539–553. doi: 10.1136/hrt.36.6.539. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Freedom R. M., Harrington D. P. Anatomically corrected malposition of the great arteries. Report of 2 cases, one with congenital asplenia; frequent association with juxtaposition of atrial appendages. Br Heart J. 1974 Feb;36(2):207–215. doi: 10.1136/hrt.36.2.207. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Goor D. A., Dische R., Lillehei C. W. The conotruncus. I. Its normal inversion and conus absorption. Circulation. 1972 Aug;46(2):375–384. doi: 10.1161/01.cir.46.2.375. [DOI] [PubMed] [Google Scholar]
  11. Goor D. A., Edwards J. E. The spectrum of transposition of the great arteries: with specific reference to developmental anatomy of the conus. Circulation. 1973 Aug;48(2):406–415. doi: 10.1161/01.cir.48.2.406. [DOI] [PubMed] [Google Scholar]
  12. Kirklin J. W., Pacifico A. D., Bargeron L. M., Jr, Soto B. Cardiac repair in anatomically corrected malposition of the great arteries. Circulation. 1973 Jul;48(1):153–159. doi: 10.1161/01.cir.48.1.153. [DOI] [PubMed] [Google Scholar]
  13. Lev M., Bharati S., Meng C. C., Liberthson R. R., Paul M. H., Idriss F. A concept of double-outlet right ventricle. J Thorac Cardiovasc Surg. 1972 Aug;64(2):271–281. [PubMed] [Google Scholar]
  14. Lincoln C., Anderson R. H., Shinebourne E. A., English T. A., Wilkinson J. L. Double outlet right ventricle with 1-malposition of the aorta. Br Heart J. 1975 May;37(5):453–463. doi: 10.1136/hrt.37.5.453. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Raghib G., Anderson R. C., Edwards J. E. Isolated bulbar inversion in corrected transposition. Am J Cardiol. 1966 Mar;17(3):407–410. doi: 10.1016/0002-9149(66)90223-2. [DOI] [PubMed] [Google Scholar]
  16. Sunada T., Teramoto S., Nakanishi M., Fujiwara T., Senoo Y. [Corrected transposition of the great vessels, a case of Cardell B1 type]. Kyobu Geka. 1967 Jun;20(6):389–394. [PubMed] [Google Scholar]
  17. TRUEX R. C., BISHOF J. K. Conduction system in human hearts with interventricular septal defects. J Thorac Surg. 1958 Apr;35(4):421–439. [PubMed] [Google Scholar]
  18. Tandon R., Edwards J. E. Tricuspid atresia. A re-evaluation and classification. J Thorac Cardiovasc Surg. 1974 Apr;67(4):530–542. [PubMed] [Google Scholar]
  19. 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]
  20. Van Praagh R., Durnin R. E., Jockin H., Wagner H. R., Korns M., Garabedian H., Ando M., Calder A. L. Anatomically corrected malposition of the great arteries (S, D, L). Circulation. 1975 Jan;51(1):20–31. doi: 10.1161/01.cir.51.1.20. [DOI] [PubMed] [Google Scholar]
  21. Van Praagh R. Editorial: Do side by side great arteries merit a special name? Am J Cardiol. 1973 Nov;32(6):874–876. doi: 10.1016/s0002-9149(73)80021-9. [DOI] [PubMed] [Google Scholar]
  22. Van Praagh R., Perez-Trevino C., Lõpez-Cuellar M., Baker F. W., Zuberbuhler J. R., Quero M., Perez V. M., Moreno F., Van Praagh S. Transposition of the great arteries with posterior aorta, anterior pulmonary artery, subpulmonary conus and fibrous continuity between aortic and atrioventricular valves. Am J Cardiol. 1971 Dec;28(6):621–631. doi: 10.1016/0002-9149(71)90049-x. [DOI] [PubMed] [Google Scholar]
  23. Van Praagh R., Van Praagh S. Anatomically corrected transposition of the great arteries. Br Heart J. 1967 Jan;29(1):112–119. doi: 10.1136/hrt.29.1.112. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Van Praagh R., Van Praagh S. Isolated ventricular inversion. A consideration of the morphogenesis, definition and diagnosis of nontransposed and transposed great arteries. Am J Cardiol. 1966 Mar;17(3):395–406. doi: 10.1016/0002-9149(66)90222-0. [DOI] [PubMed] [Google Scholar]

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