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Double Outlet Left Ventricle

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Surgery of Conotruncal Anomalies

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Abstract

Double outlet left ventricle (DOLV) is a rare congenital cardiac malformation in which both great arteries arise entirely or predominantly from the morphologic left ventricle.

Dextroposition of the posterior great artery causes double outlet right ventricle, while levoposition of the anterior great artery causes DOLV. Combination of dextroposition and levoposition results in conotruncal criss cross. There are two types of DOLV, normal great arteries (NGA) type and transposition of the great arteries (TGA) type. Most cases of DOLV require Rastelli operation.

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References

  1. Menon SC, Hagler DJ. Double-outlet left ventricle: diagnosis and management. Curr Treat Options Cardiovasc Med. 2008;10:448–52.

    Article  PubMed  Google Scholar 

  2. Imai-Compton C, Elmi M, Manlhiot C, Floh AA, Golding F, Williams WG, McCrindle BW. Characteristics and outcomes of double outlet left ventricle. Congenit Heart Dis. 2010;5:532–6.

    Article  PubMed  Google Scholar 

  3. Wilcox BR, Ho SY, Macartney FJ, Becker AE, Gelis LM, Anderson RH. Surgical anatomy of double-outlet right ventricle with situs solitus and atrioventricular concordance. J Thorac Cardiovasc Surg. 1981;82:405–17.

    CAS  PubMed  Google Scholar 

  4. Anderson RH, Becker AE, Wilcox BR, Macartney FJ, Wilkinson JL. Surgical anatomy of double-outlet right ventricle–a reappraisal. Am J Cardiol. 1983;52:555–9.

    Article  CAS  PubMed  Google Scholar 

  5. Hinkes P, Rosenquist GC, White Jr RI. Roentgenographic re-examination of the internal anatomy of the Taussig-Bing heart. Am Heart J. 1971;81:335–9.

    Article  CAS  PubMed  Google Scholar 

  6. Van Mierop LHS, Alley RD, Kausel HW, Stranahan A. Pathogenesis of transposition complexes. I. Embryology of the ventricles and great arteries. Am J Cardiol. 1963;12:216–25.

    Article  Google Scholar 

  7. Van Mierop LHS, Wiglesworth FW. Pathogenesis of transposition complexes. II. Anomalies due to faulty transfer of the posterior great artery. Am J Cardiol. 1963;12:226–32.

    Article  Google Scholar 

  8. Van Mierop LHS, Wiglesworth FW. Pathogenesis of transposition complexes. III. True transposition of the great vessels. Am J Cardiol. 1963;12:233–9.

    Article  Google Scholar 

  9. Van Praagh R, Perez-Trevino C, Lopez-Cuellar M, Baker FW, Zuberbuhler JR, Quero M, Perez VM, Moreno F, Van Praagh S. Transposition of the great arteries with posterior aorta, anterior pulmonary artery, subpulmonary conus and fibrous continuity between aortic and atrioventricular valves. Am J Cardiol. 1971;28:621–31.

    Article  PubMed  Google Scholar 

  10. Wilkinson JL, Arnold R, Anderson RH, Acerete F. ‘Posterior’ transposition reconsidered. Br Heart J. 1975;37:757–66.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Kurosawa H, Van Mierop LH. Surgical anatomy of the infundibular septum in transposition of the great arteries with ventricular septal defect. J Thorac Cardiovasc Surg. 1986;91:123–32.

    CAS  PubMed  Google Scholar 

  12. Kurosawa H. Double outlet right ventricle. J Jp Surgical Society. 2001;102:578–83.

    CAS  Google Scholar 

  13. Kurosawa H. Conduction system in cardiac surgery. Igakushoin (ISBN978-4-260-01504-2), Tokyo; 2013. p. 86–100, p. 101–120, p. 121–134, p. 135–141.

    Google Scholar 

  14. Vukomanovic V, Prijic S, Bjelakovic B. Double-outlet left ventricle with L-malposition of the great arteries and subpulmonary ventricular septal defect. Pediatr Cardiol. 2013;34:476–7.

    Article  PubMed  Google Scholar 

  15. Pernkopf E, Wirtinger W. Das Wesen der Transposition im Gebeiete des Herzens, ein Versuch der Erklarung auf ent wick lungsgeshichtlicher Grund large. Virchows Archiv Fur Pathologische Anatomie und Phisiologie. 1935;295:143.

    Article  Google Scholar 

  16. Van Praagh R. Transposition of the great arteries. II. Transposition clarified. Am J Cardiol. 1971;28:739.

    Article  PubMed  Google Scholar 

  17. Kirklin JW, Pacifico AD, Bargeron Jr LM, Soto B. Cardiac repair in anatomically corrected malposition of the great arteries. Circulation. 1973;48:153–9.

    Article  CAS  PubMed  Google Scholar 

  18. Anderson RH. Anatomically corrected malposition and double outlet ventricle. World J Pediatr Congenit Heart Surg. 2013;4:457.

    Article  PubMed  Google Scholar 

  19. Neufeld HN, Dushane JW, Wood EH, Kirklin JW, Edwards JE. Origin of both great vessels from the right ventricle: I. Without pulmonary stenosis. Circulation. 1961;23:399–412.

    Article  CAS  PubMed  Google Scholar 

  20. Kurosawa H, Becker AE. Atrioventricular conduction in congenital heart disease. Surgical anatomy. Tokyo, Berlin, New York: Springer; 1987. p. 97–144, p. 145–173, p. 175–224.

    Google Scholar 

  21. Kurosawa H, Becker AE. Modification of the precise relationship of the atrioventricular conduction bundle to the margins of the ventricular septal defects by the trabecula septomarginalis. J Thorac Cardiovasc Surg. 1984;87:605–15.

    CAS  PubMed  Google Scholar 

  22. Kurosawa H, Morita K, Yamagishi M, Shimizu S, Becker AE, Anderson RH. Conotruncal repair for tetralogy of Fallot: midterm results. J Thorac Cardiovasc Surg. 1998;115:351–60.

    Article  CAS  PubMed  Google Scholar 

  23. Kurosawa H, Gaynor JW, Jacobs JP, Jacobs ML, Elliot MJ, Lacour-Gayet F, Tchervenkov CI, Maruszewski B, Mavroudis C. Congenital heart surgery nomenclature and database project. Update and proposed data harvest. Jpn J Thorac Cardiovasc Surg. 2002;50:498–501.

    Article  PubMed  Google Scholar 

  24. Jacobs JP, Maruszewski B, Tchervenkov CI, Lacour-Gayet F, Jacobs ML, Clarke DR, Gaynor JW, Spray TL, Stellin G, Elliott MJ, Ebels T, Franklin RC, Beland MJ, Kurosawa H, Aiello VD, Colan SD, Krogmann ON, Weinberg P, Tobota Z, Dokholyan RS, Peterson ED, Mavroudis C. The current status and future directions of efforts to create a global database for the outcomes of therapy for congenital heart disease. Cardiol Young. 2005;15 Suppl 1:190–7.

    Article  PubMed  Google Scholar 

  25. Taussig H, Bing R. Complete transposition of the aorta and a levoposition of the pulmonary artery. clinical, physiological, and pathological findings. Am Heart J. 1949;37:551–9.

    Article  CAS  PubMed  Google Scholar 

  26. Yasui H, Kado H, Nakano E, Yonenaga K, Mitani A, Tomita Y, Iwao H, Yoshii K, Mizoguchi Y, Sunagawa H. Primary repair of interrupted aortic arch and severe aortic stenosis in neonates. J Thorac Cardiovasc Surg. 1987;93:539–45.

    CAS  PubMed  Google Scholar 

  27. Kawashima Y, Fujita T, Miyamoto T, Manabe H. Intraventricular rerouting of blood for the correction of Taussig-Bing malformation. J Thorac Cardiovasc Surg. 1971;62:825–9.

    CAS  PubMed  Google Scholar 

  28. Morita K, Kurosawa H, Koyanagi K, Nomura K, Uno Y, Naganuma H, Matsumura Y, Inoue T. Atrioventricular groove patch plasty for anatomically corrected malposition of the great arteries. J Thorac Cardiovasc Surg. 2001;122:872–8.

    Article  CAS  PubMed  Google Scholar 

  29. Yamagishi M, Shuntoh K, Matsushita T, Fujiwara K, Shinkawa T, Miyazaki T, Kitamura N. Half-turned truncal switch operation for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis. J Thorac Cardiovasc Surg. 2003;125:966–8.

    Article  PubMed  Google Scholar 

  30. Kurosawa H, Imai Y, Takanashi Y, Hoshino S, Sawatari K, Kawada M, Takao A. Infundibular septum and coronary anatomy in Jatene operation. J Thorac Cardiovac Surg. 1986;91:572–83.

    CAS  Google Scholar 

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Authors and Affiliations

  1. Cardiovascular Surgery, Tokyo Women’s Medical University, 1-7-12 Marunouchi Chiyodaku, Tokyo, 100-0005, Japan

    Hiromi Kurosawa MD

  2. Sakakibara Sapia Tower Clinic, Tokyo, Japan

    Hiromi Kurosawa MD

  3. Jikei University, Tokyo, Japan

    Hiromi Kurosawa MD

Authors
  1. Hiromi Kurosawa MD
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Correspondence to Hiromi Kurosawa MD .

Editor information

Editors and Affiliations

  1. Royal Brompton Hospital, London, United Kingdom

    Francois Lacour-Gayet

  2. C.S. Mott Children’s Hospital, University of Michigan, Ann Arbor, Michigan, USA

    Edward L. Bove

  3. German Pediatric Heart Center, Asklepios Klinik Sankt Augustin Gmb, Sankt Augustin, Germany

    Viktor Hraška

  4. University of Pittsburgh Medical School, Pittsburgh, Pennsylvania, USA

    Victor O. Morell

  5. Department of Cardiothoracic Surgery, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Thomas L. Spray

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Kurosawa, H. (2016). Double Outlet Left Ventricle. In: Lacour-Gayet, F., Bove, E., Hraška, V., Morell, V., Spray, T. (eds) Surgery of Conotruncal Anomalies. Springer, Cham. https://doi.org/10.1007/978-3-319-23057-3_25

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  • DOI: https://doi.org/10.1007/978-3-319-23057-3_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23056-6

  • Online ISBN: 978-3-319-23057-3

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