Skip to main content

Advertisement

SpringerLink
Log in

Comparison of types of pulmonary stenosis with the state of the ventricular septum in complete transposition of the great arteries

  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Summary

The pulmonary valve and left ventricular outflow tract of 214 hearts with d-transposition of the great arteries (d-TGA) were visually inspected (126 of 214 with intact ventricular septum and 88 of 214 with ventricular septal defect [VSD]). Pulmonary stenosis (PS), either valvular, subvalvular, or in combination, was present in 26 cases and was found to be more common in the presence of a VSD (20.5%) than intact ventricular septum (6.3%). PS occurred more commonly in the presence of a supracristal VSD than an infracristal VSD (70%, 7 of 10 vs 15%, 10 of 66). Further, infracristal or supracristal VSDs were associated with different types of pulmonary obstruction. In seven of ten cases with infracristal VSD and PS, the stenosis was caused by an anomaly of an atrioventricular valve. In six of seven cases with supracristal VSD and PS, the latter was caused by membranous encirclement of the left ventricular outflow tract.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Anderson RH, Becker AE (1981) Complete transposition: morphology. In: Becker AE, Losekoot G, Marcelletti C, Anderson RH (eds)Paediatric cardiology (1981) vol 3. Churchill Livingstone, Edinburgh, pp 173–178

    Google Scholar 

  2. Anderson RH, Lenox CC, Zuberbuhler JR (1983) Mechanisms of closure of perimembranous ventricular septal defect.Am J Cardiol 52:341–345

    CAS  PubMed  Google Scholar 

  3. Aziz KU, Paul MH, Idriss FS, Wilson AD, Muster AJ (1979) Clinical manifestations of dynamic left ventricular outflow tract stenosis in infants with d-transposition of the great arteries with intact ventricular septum.Am J Cardiol 44:290–297

    CAS  PubMed  Google Scholar 

  4. Bharati S, McAllister HA Jr, Lev M (1980) Left ventricular outflow obstruction in complete transposition [abstr].Circulation [Suppl 3]62:71

    Google Scholar 

  5. Deal BJ, Chin AJ, Sanders SP, Norwood WI, Castaneda AR (1985) Subxiphoid two-dimensional echocardiographic identification of tricuspid valve abnormalities in transposition of the great arteries with ventricular septal defect.Am J Cardiol 55:1146–1151

    Article  CAS  PubMed  Google Scholar 

  6. Elliott LP, Neufeld HN, Anderson RC, Adams P Jr, Edwards JE (1963) Complete transposition of the great vessels. I. An anatomic study of sixty cases.Circulation 27:1105–1117

    Google Scholar 

  7. Idriss FS, Aubert J, Paul M, Nikaidoh H, Lev M, Newfeld EA (1974) Transposition of the great vessels with ventricular septal defect: surgical and anatomic considerations.J Thorac Cardiovasc Surg 68:732–741

    CAS  PubMed  Google Scholar 

  8. Imamura ES, Morikawa T, Tatsuno K, Konno S, Arai T, Sakakibara W (1971) Surgical considerations of ventricular septal defect associated with complete transposition of the great arteries and pulmonary stenosis: with special reference to the Rastelli operation.Circulation 44:914–923

    CAS  PubMed  Google Scholar 

  9. Layman TE, Edwards JE (1967) Anomalies of the cardiac valves associated with complete transposition of the great vessels.Am J Cardiol 19:247–255

    Article  CAS  PubMed  Google Scholar 

  10. Moene RJ, Oppenheimer-Dekker A, Wenink ACG, Bartelings MM, Gittenberger-de Groot AC (1985) Morphology of ventricular septal defect in complete transposition of the great arteries.Am J Cardiol 55:1566–1570

    Article  CAS  PubMed  Google Scholar 

  11. Moene RJ, Oppenheimer-Dekker A, Bartelings MM, Wenink ACG, Gittenberger-de Groot AC (1986) Ventricular septal defect with normally connected and with transposed great arteries.Am J Cardiol 58:627–632

    Article  CAS  PubMed  Google Scholar 

  12. Quero Jimenez M, Perez Martinez V: Uncommon conal pathology in complete dextrotransposition of the great arteries with ventricular septal defect.Chest 66:411–417

  13. Riemenschnieder TA, Goldberg SJ, Ruttenberg HD, Gyepes MT (1969) Subpulmonic obstruction in complete (d) transposition produced by redundant tricuspid tissue.Circulation 39:603–609

    Google Scholar 

  14. Rosenquist GC, Stark J, Taylor JFN (1975) Congenital mitral valve disease in transposition of the great arteries.Circulation 51:731–737

    CAS  PubMed  Google Scholar 

  15. Shaher RM, Puddu GC, Khoury G, Moes CAF, Mustard WT (1967) Complete transposition of the great vessels with anatomic obstruction of the outflow tract of the left ventricle: surgical implications of anatomic findings.Am J Cardiol 19:658–670

    CAS  PubMed  Google Scholar 

  16. Shrivastava S, Tadavarthy SM, Fukuda T, Edwards JE (1976) Anatomic causes of pulmonary stenosis in complete transposition.Circulation 54:154–159

    CAS  PubMed  Google Scholar 

  17. Van Gils FAW, Moulaert AJ, Oppenheimer-Dekker A, Wenink ACG (1978) Transposition of the great arteries with ventricular septal defect and pulmonary stenosis.Br Heart J 40:494–499

    PubMed  Google Scholar 

  18. Yacoub MH (1986) Anatomic correction of transposition of the great arteries. In: Jamieson S, Shumway N (eds)Rob and Smith's operative surgery (1986), 4th edn. Butterworth's, Boston, pp 328–341

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatric Cardiology, University of Minnesota, Minneapolis

    Michael Silberbach, W. Lesley Castro, Mary Ann Goldstein, Russell V. Lucas Jr. & Jesse E. Edwards

  2. Department of Pathology, University of Minnesota, Minneapolis

    Michael Silberbach, W. Lesley Castro, Mary Ann Goldstein, Russell V. Lucas Jr. & Jesse E. Edwards

  3. Department of Pathology and Registry of Cardiovascular Disease, United Hospital, St. Paul, Minnesota, USA

    Michael Silberbach, W. Lesley Castro, Mary Ann Goldstein, Russell V. Lucas Jr. & Jesse E. Edwards

Authors
  1. Michael Silberbach
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. W. Lesley Castro
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mary Ann Goldstein
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Russell V. Lucas Jr.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jesse E. Edwards
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Silberbach, M., Castro, W.L., Goldstein, M.A. et al. Comparison of types of pulmonary stenosis with the state of the ventricular septum in complete transposition of the great arteries. Pediatr Cardiol 10, 11–15 (1989). https://doi.org/10.1007/BF02328629

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02328629

Key words

Search

Navigation