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Ann Thorac Surg 1996;62:1529-1532
© 1996 The Society of Thoracic Surgeons

Case Report

Intraatrial Baffle Repair of Isolated Ventricular Inversion With Left Atrial Isomerism

Doff B. McElhinney, MS, V. Mohan Reddy, MD, Norman H. Silverman, MD, Frank L. Hanley, MD

Divisions of Cardiothoracic Surgery and Pediatric Cardiology, University of California, San Francisco, San Francisco, California

Accepted for publication June 7, 1996.

Isolated ventricular inversion with left atrial isomerism, partial anomalous pulmonary venous connection, and interruption of the inferior vena cava with azygos continuation to a right superior vena cava was diagnosed by echocardiography in a neonate. At 48 days of age, the patient underwent successful anatomic correction with redirection of flow from the superior vena cava and hepatic veins to the left-sided tricuspid valve, and flow from the pulmonary veins to the right-sided mitral valve. In the present report, the surgical techniques of this case are described, along with a survey of the surgical literature covering anatomic repair of isolated ventricular inversion.




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