Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-12-01T00:06:23.306Z Has data issue: false hasContentIssue false
  • English
  • Français

Double outlet right atrium with coexisting double inlet left ventricle and concordant ventriculoarterial connections: a fascinating variant of the Holmes heart

Published online by Cambridge University Press:  23 July 2010

Louise Coats ,
Craig Runnett  and
Duwarakan K. Satchithananda
Louise Coats*
Affiliation:
Department of Cardiology, Wansbeck Hospital, Northumberland, United Kingdom
Craig Runnett
Affiliation:
Department of Cardiology, Wansbeck Hospital, Northumberland, United Kingdom
Duwarakan K. Satchithananda
Affiliation:
Department of Cardiology, Wansbeck Hospital, Northumberland, United Kingdom
*
Correspondence to: Dr L. Coats, Department of Cardiology, Wansbeck Hospital, Woodhorn Lane, Ashington NE63 9JJ, Northumberland. Tel: 0844 811 8111; Fax: 0167 052 9414; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Occasionally complex congenital cardiac disease presents for the first time in adulthood, encouraging us to reflect anew on our understanding of familiar conditions. A 59-year–old woman, who had had two normal pregnancies, attended with breathlessness and was found to have a double inlet left ventricle with concordant ventriculoarterial connections and a straddling tricuspid valve adherent to the malaligned ventricular septum.

Keywords

Congenital cardiac diseaseechocardiographyHolmes heart
Type
Brief Reports
Information
Cardiology in the Young , Volume 20 , Issue 5 , October 2010 , pp. 587 - 589
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Holmes, AF. Case of malformation of the heart. Edinburgh Trans Medico-Chir Soc 1824; 1: 252–254.Google ScholarPubMed
2. Abbott, ME. Unique case of malformation of the heart? Defect of the interventricular septum; rudimentary right ventricle; patent foramen ovale; great dilatation of right auricle and right auricular appendix. Montreal Med J 1901; 30: 522–532.Google Scholar
3. Anderson, RH, Becker, AE, Freedom, RM, et al. Sequential segmental analysis of congenital heart disease. Pediatr Cardiol 1984; 5: 281–287.CrossRefGoogle ScholarPubMed
4. Lambert, EC. Single ventricle with a rudimentary outlet chamber: case report. Bull Johns Hopkins Hosp 1951; 88: 231–238.Google ScholarPubMed
5. Milo, S, Ho, SY, Macartney, FJ, et al. Straddling and overriding atrioventricular valves: morphology and classification. Am J Cardiol 1979; 44: 1122–1134.CrossRefGoogle Scholar
6. Isomatsu, Y, Kurosawa, H, Imai, Y. Straddling tricuspid valve without a ventricular septal defect. Br Heart J 1989; 62: 222–224.CrossRefGoogle ScholarPubMed
7. Tham, EB, Wald, R, McElhinney, DB, et al. Outcome of fetuses and infants with double inlet single left ventricle. Am J Cardiol 2008; 101: 1652–1656.CrossRefGoogle ScholarPubMed
8. Hanley, FL. The one and a half ventricle repair – we can do it, but should we do it? J Thorac Cardiovasc Surg 1999; 117: 659–661.CrossRefGoogle Scholar