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Ann Thorac Surg 2008;86:1327. doi:10.1016/j.athoracsur.2008.07.064
© 2008 The Society of Thoracic Surgeons
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Original Articles: Pediatric Cardiac

Invited Commentary

Robert H. Anderson, MD, FRCPath

Cardiac Unit, Institute of Child Health, 30 Guilford St, London, WC1N 1EH United Kingdom

(Email: r.anderson@ich.ucl.ac.uk).

The first 20% of the full text of this article appears below.

Uemura and associates [1] describe the anatomic patterns encountered in a cohort of almost 100 patients with double inlet left ventricle, with just over half of their cohort studied subsequent to death of the patient and autopsy, but with the remainder assessed in the clinical setting. As they indicate, it is usual for patients with double inlet left ventricle to be stratified according to the location of the incomplete and rudimentary right ventricle relative to the dominant left ventricle, with two-thirds of their cohort having the most common pattern in which the incomplete right ventricle is left-sided. This situation is usually taken to be the consequence of left-handed ventricular looping during development, although perhaps sensibly, the authors do not venture into the potential minefield of embryological speculation.

. . . [Full Text of this Article]


Related Article

Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures
Hideki Uemura, Siew Yen Ho, Iki Adachi, and Toshikatsu Yagihara
Ann. Thorac. Surg. 2008 86: 1321-1327. [Abstract] [Full Text] [PDF]





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