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Sequential segmental analysis - description and categorization for the millennium

Published online by Cambridge University Press:  19 August 2008

Robert H. Anderson  and
Siew Yen Ho
Robert H. Anderson*
Affiliation:
Paediatrics, Imperial College shool of Medicine at National Heart and Lung Institute, London, UK
Siew Yen Ho
Affiliation:
Paediatrics, Imperial College shool of Medicine at National Heart and Lung Institute, London, UK
*
Professor RH Anderson, Paediatrics, National Heart and Lung Institute, Dovehouse Street, London SW3 6LYUK. Tel: 010-44-71-351 8751. Fax: 010-44-71-351-8230
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Abstract

The concept of sequential analysis of congenitally malformed hearts is now widely accepted, although some aspects remain controversial. In this review, we analyse the evolution of the scgmental approach, showing how our own concepts of analysis have chaanged little since our initial description, heart dicrates the presence of the atrial, ventriclar, and arterial segments, Analysis depends upon recognizing the morphologic differences of the components within each segment, and then how these parts are joined together across the atrioventicular and ventriculo-arterial Junctions. The distinction of chambers and arterial trunks follows the principle of the morphologic method, namely that scructures be identified on the basis of their own intrinsic morphology, and not according to other features which themselves might be variable. Differentiation of junctional arrangements as opposed to segmental stucture resolves ongoing controversics such as the nature of “univentricular hearts”.Analysis in the fashion proposed shows that there is nothing intrinsically complicated with malformed hearts.

Keywords

Congenital cardiac malformationsnomenclatureclassification
Type
Continuing Medical Education
Information
Cardiology in the Young , Volume 7 , Issue 1 , January 1997 , pp. 98 - 116
Copyright
Copyright © Cambridge University Press 1997

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