Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-29T04:49:16.174Z Has data issue: false hasContentIssue false
  • English
  • Français

Solitary trunk from the right ventricle with a cleft mitral valve simulating the trifoliate left valve of an atrioventricular septal defect with common atrioventricular junction

Published online by Cambridge University Press:  21 January 2005

Geoffrey P. Sharratt  and
Robert H. Anderson
Geoffrey P. Sharratt
Affiliation:
Department of Pediatrics and Cardiology, Isaac Walton Killam Health Centre, and Dalhousie University, Halifax, Nova Scotia, Canada
Robert H. Anderson
Affiliation:
Cardiac Unit, Institute of Child Health, London, UK
Get access Rights & Permissions [Opens in a new window]

Abstract

We report a case of a true cleft in the anterior leaflet of the mitral valve. The cleft, however, is directed toward the ventricular septum, and the left ventricular papillary muscles have the same arrangement as seen in the setting of a common atrioventricular orifice. The atrioventricular septum is intact. This appearance reflects the presence, in this patient, of right ventricular origin of a solitary arterial trunk, so that there was no outflow tract within the left ventricle to interpose between the mitral valve and the septum.

Keywords

Tetralogy of Fallot with pulmonary atresiasystemic-to-pulmonary collateral arteriesatrioventricular valves
Type
Brief Report
Information
Cardiology in the Young , Volume 14 , Issue 4 , August 2004 , pp. 444 - 446
Copyright
© 2004 Cambridge University Press

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

Carpentier A. Surgical anatomy and management of the mitral component of the atrioventricular canal defects. In: Anderson RH, Shinebourne EA (eds). Pediatric Cardiology. Churchill Livingstone, Edinburgh, 1978, pp 477–490.
Anderson RH, Zuberbuhler JR, Penkoske PA, Neches WH. Of clefts, commissures and things. J Thorac Cardiovasc Surg 1985; 90: 605–610.Google Scholar
Chin AJ, Bierman FZ, Sanders SP, Williams RG, Norwood WI, Castaneda AR. Subxyphoid 2-dimensional echocardiographic identification of left ventricular papillary muscle anomalies in complete common atrioventricular canal. Am J Cardiol 1983; 51: 1695–1700.Google Scholar
Sigfuson G, Ettedgui JA, Silverman NH, Anderson RH. Is the cleft in the anterior leaflet of an otherwise normal mitral valve an atrioventricular canal malformation? J Am Coll Cardiol 1995; 26: 508–515.Google Scholar
Smallhorn JF, Tommasini G, Anderson RH, Macartney FJ. Assessment of atrioventricular septal defects by two-dimensional echocardiography. Br Heart J 1982; 47: 109–121.Google Scholar