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KMID : 0364019900230061280
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Korean Journal of Thoracic and Cardiovascular Surgery
1990 Volume.23 No. 6 p.1280 ~ p.1287
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isolated Vontricular Inversion and Anatomically corrected Malpostition of the Great arteries Associated with Right Juxtaposition of Left Atrial Appendage -A Case of successful surgical repair-
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J. R. Lee
Y. J.l Kim/K. P. Suh/Y. S. Yoon
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Abstract
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A seven month old female infant with isolated ventricular inversion and anatomically corrected malposition of the great arteries in situs solitus, associated with ventricular septal defect, patent ductus arteriosus, right-sided juxtaposition of left atrial appendage, is reported. The patient showed usual atrial arrangement with somewhat superoinferior relation, a discordant atrioventricular connection, and a concordant ventriculoarterial connection with aorta in the right-sided position. A normal sized left atrium was connected to the left superiorly positioned morphologic right ventricle through a tricuspid valve, which crossed the left ventricular outflow tract anteriorly. Well developed bilateral[subaortic and sub-pulmonary]conus was documented at operative field. successful surgical repair was done by performing the Senning procedure and by closing the ventricular sepal defect with a patch through the right ventriculotomy. The infant’s postoperative course was uneventful with normal sinus rhythm. Postoperative cardiac catheterization revealed no hemodynamic obstruction or residual shunt.
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