Analysis of the ventricular chambers indicates that ventricular inversion is apparent, with the posterior ventricle representing a morphologic right ventricle. The left ventricle is anterior in location, and is smooth-walled. The right ventricle is posteriorly located and is the systemic ventricle. It appears heavily trabeculated, and demonstrates mildly decreased systolic function.
The aorta is seen to originate in an abnormal anterior location from this right ventricle. Additionally, the outflow tract leading to the aorta has a right ventricular configuration, with an infundibulum apparent. In addition, there is no evidence of fibrous continuity between the systemic ventricular arteriovenous and atrioventricular valves as is usually the case.
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References
Guit GL, et al. Levotransposition of the aorta: identification of segmental cardiac anatomy using MR imaging. Radiology. 1986;161(3):673–679.
Ohuchi H, et al. Comparison of the right and left ventricle as a systemic ventricle during exercise in patients with congenital heart disease. Am Heart J. 1999;137(6):1185–1194.
Warnes CA. Transposition of the great arteries. Circulation. 2006;114(24):2699–2709.
Devaney EJ, et al. Combined arterial switch and Senning operation for congenitally corrected transposition of the great arteries: patient selection and intermediate results. J Thorac Cardiovasc Surg. 2003;125(3):500–507.
Al Qethamy HO, et al. Two-stage arterial switch operation: is late ever too late? Asian Cardiovasc Thorac Ann. 2002;10(3):235–239.
Duncan BW, et al. Results of the double switch operation for congenitally corrected transposition of the great arteries. Eur J Cardiothorac Surg. 2003;24(1):11–19; discussion 19–20.
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(2008). Teaching File Case 36. In: Cardiovascular MRI in Practice. Springer, London. https://doi.org/10.1007/978-1-84800-090-2_44
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DOI: https://doi.org/10.1007/978-1-84800-090-2_44
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