Hostname: page-component-848d4c4894-nr4z6 Total loading time: 0 Render date: 2024-06-03T16:39:01.278Z Has data issue: false hasContentIssue false

Triple outlet right ventricle: a previously unknown cardiac malformation

Published online by Cambridge University Press:  28 April 2014

Jennifer E. Tingo*
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Columbia University College of Physicians and Surgeons, Morgan Stanley Children’s Hospital of New York-Presbyterian Hospital, New York, New York, United States of America
Sheila J. Carroll
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Weill Cornell Medical College, New York-Presbyterian Hospital, Phyllis and David Komansky Center for Children’s Health, New York, New York, United States of America
Matthew A. Crystal
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Columbia University College of Physicians and Surgeons, Morgan Stanley Children’s Hospital of New York-Presbyterian Hospital, New York, New York, United States of America
*
Correspondence to: Dr J. E. Tingo, MD, Division of Pediatric Cardiology, NewYork-Presbyterian/Morgan Stanley Children’s Hospital, 3959 Broadway, 2 North, New York, New York 10032, United States of America. Tel: +212 305 8509; Fax: +212 305 4429; E-mail: jt2720@columbia.edu

Abstract

We present the case of an infant with three distinct outflow tracts from the right ventricle. Three outlets from the heart have been previously named the “Tritruncal Heart”. We review the two previously reported cases of tritruncal hearts and describe the anatomy, diagnosis, surgical management, and outcome of our case. Embryologic implications are also discussed.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

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

1. Diaz-Gongora, G, Quero-Jimenez, M, Espino-Vela, J, Arteaga, M, Bargeron, L. A heart with three arterial trunks (tritruncal heart). Report of a case. Pediatr Cardiol 1982; 3: 293299.Google Scholar
2. Pelletier, GJ, Sokoloski, M, Kardon, R. Diagnosis and management of tritruncal heart in an infant. J Thorac Cardiovasc Surg 2009; 137: 753755.Google Scholar
3. Anderson, RH, Chaudhry, B, Mohun, TJ, et al. Normal and abnormal development of the intrapericardial arterial trunks in humans and mice. Cardiovasc Res 2012; 95: 108115.CrossRefGoogle ScholarPubMed
4. Phillips, HM, Mahendran, P, Singh, E, Anderson, RH, Chaudhry, B, Henderson, DJ. Neural crest cells are required for correct positioning of the developing outflow cushions and pattern the arterial valve leaflets. Cardiovasc Res 2013; 99: 452460.Google Scholar
5. Babaoglu, K, Altun, G, Binnetoglu, K, Donmez, M, Kayabey, O, Anik, Y. Crossed pulmonary arteries: a report on 20 cases with an emphasis on the clinical features and the genetic and cardiac abnormalities. Pediatr Cardiol 2013; 34: 17851790.Google Scholar
6. Jue, KL, Lockman, LA, Edwards, JE. Anomalous origins of pulmonary arteries from pulmonary frunk (“crossed pulmonary arteries”): observation in a case with 18 trisomy syndrome. Am Heart J 1966; 71: 807812.Google Scholar
7. Recto, MR, Parness, IA, Gelb, BD, Lopez, L, Lai, WW. Clinical implications and possible association of malposition of the branch pulmonary arteries with digeorge syndrome and microdeletion of chromosomal region 22q11. Am J Cardiol 1997; 80: 16241627.Google Scholar