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. 1977 Mar;39(3):266–275. doi: 10.1136/hrt.39.3.266

Echocardiographic diagnosis of primitive ventricle with two atrioventricular valves.

J A Beardshaw, D G Gibson, M C Pearson, M T Upton, R H Anderson
PMCID: PMC483231  PMID: 849387

Abstract

Anatomical studies have shown that the pathognomonic feature of primitive ventricle is absence of that portion of the interventricular septum which interposes between the atrioventricular valves. The relation of this posterior septum to the atrioventricular valves is such that echocardiography should be a particularly suitable technique for showing its presence or absence. When a posterior septum is present, it is seen on an echocardiogram as a double echo between the two atrioventricular valves. It presence limits posterior movement of the septal cusp of the anterior atrioventricular valve. Absence of the posterior septum should, therefore, be seen echocardiographically as more than mere absence of the double septal echo. It should be possible to show unusual posterior excursion of the "septal" cusp of the anterior atrioventricular valve and apposition of the "septal" cusps of the atrioventricular valves during diastole. In most instances it should also be possible to demonstrate that the posterior great artery is in continuity with both atrioventricular valves. We have shown these echocardiographic features in 26 patients. The diagnosis of primitive ventricle has been confirmed at necropsy or at operation in 4 patients. In the other 22 patients in angiographic data are compatible with a diagnosis of primitive ventricle. Demonstration of these positive features at echocardiography is, therefore, of considerable value in the initial diagnosis of primitive ventricle and in particular its differentiation from other congenital malformations.

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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., Becker A. E., Wilkinson J. L., Gerlis L. M. Morphogenesis of univentricular hearts. Br Heart J. 1976 Jun;38(6):558–572. doi: 10.1136/hrt.38.6.558. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Assad-Morell J. L., Tajik A. J., Giuliani E. R. Echocardiographic analysis of the ventricular septum. Prog Cardiovasc Dis. 1974 Nov-Dec;17(3):219–237. doi: 10.1016/0033-0620(74)90046-2. [DOI] [PubMed] [Google Scholar]
  3. Beardshaw J. A., Gibson D. G., Wright J. S., Pearson M. C., Anderson R. H. Proceedings: Echocardiographic diagnosis of corrected transposition. Br Heart J. 1976 Aug;38(8):878–878. [PubMed] [Google Scholar]
  4. Chesler E., Joffe H. S., Beck W., Schrire V. Echocardiography in the diagnosis of congenital heart disease. Pediatr Clin North Am. 1971 Nov;18(4):1163–1190. doi: 10.1016/s0031-3955(16)32634-7. [DOI] [PubMed] [Google Scholar]
  5. Edie R. N., Ellis K., Gersony W. M., Krongrad E., Bowman F. O., Jr, Malm J. R. Surgical repair of single ventricle. J Thorac Cardiovasc Surg. 1973 Sep;66(3):350–360. [PubMed] [Google Scholar]
  6. Felner J. M., Brewer D. B., Franch R. H. Echocardiographic manifestations of single ventricle. Am J Cardiol. 1976 Jul;38(1):80–84. doi: 10.1016/0002-9149(76)90066-7. [DOI] [PubMed] [Google Scholar]
  7. Ferrer P. L., Gottlieb S., Kallos N., Wexler H., Miale A., Jr Applications of diagnostic ultrasound and radionuclides to cardiovascular diagnosis. Part II. Cardiovascular disease in the young. Semin Nucl Med. 1975 Oct;5(4):387–418. doi: 10.1016/s0001-2998(75)80023-7. [DOI] [PubMed] [Google Scholar]
  8. Friedberg D. Z., Nadas A. S. Clinical profile of patients with congenital corrected transposition of the great arteries. A study of 60 cases. N Engl J Med. 1970 May 7;282(19):1053–1059. doi: 10.1056/NEJM197005072821901. [DOI] [PubMed] [Google Scholar]
  9. LaCorte M. A., Fellows K. E., Williams R. G. Overriding tricuspid valve: echocardiographic and angiocardiographic features. Am J Cardiol. 1976 May;37(6):911–919. doi: 10.1016/0002-9149(76)90118-1. [DOI] [PubMed] [Google Scholar]
  10. 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]
  11. Liberthson R. R., Paul M. H., Muster A. J., Arcilla R. A., Eckner F. A., Lev M. Straddling and displaced atrioventricular orifices and valves with primitive ventricles. Circulation. 1971 Feb;43(2):213–226. doi: 10.1161/01.cir.43.2.213. [DOI] [PubMed] [Google Scholar]
  12. Maloney J. D., Ritter D. G., McGoon D. C., Danielson G. K. Identification of the conduction system in corrected transposition and common ventricle at operation. Mayo Clin Proc. 1975 Jul;50(7):387–394. [PubMed] [Google Scholar]
  13. Meyer R. A., Kaplan S. Noninvasive techniques in pediatric cardiovascular disease. Prog Cardiovasc Dis. 1973 Jan-Feb;15(4):341–367. doi: 10.1016/s0033-0620(73)80016-7. [DOI] [PubMed] [Google Scholar]
  14. Ruttenberg H. D. Corrected transposition of the great arteries. N Engl J Med. 1970 Jul 23;283(4):207–208. doi: 10.1056/nejm197007232830417. [DOI] [PubMed] [Google Scholar]
  15. Seward J. B., Tajik A. J., Ritter D. G. Echocardiographic features of straddling tricuspid valve. Mayo Clin Proc. 1975 Aug;50(8):427–434. [PubMed] [Google Scholar]
  16. Seward J. B., Tajik A. J., Spangler J. G., Ritter D. G. Echocardiographic contrast studies: initial experience. Mayo Clin Proc. 1975 Apr;50(4):163–192. [PubMed] [Google Scholar]
  17. 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]
  18. Yacoub M., Ahmed M., Radley-Smith R. Proceedings: Use of right atrium to pulmonary artery valved conduit for 'correction' of single ventricle of hypoplastic right heart syndrome. Br Heart J. 1975 Jul;37(7):782–782. [PubMed] [Google Scholar]

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