HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Victor T. Tsang Nicholas Kang Ian Sullivan Robert H. Anderson Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Tsang, V. T. Articles by Anderson, R. H. Search for Related Content PubMed Articles by Tsang, V. T. Articles by Anderson, R. H.

J Thorac Cardiovasc Surg 2008;135:222-223
© 2008 The American Association for Thoracic Surgery

Brief Communication

Ventriculoarterial septal defect with separate aortic and pulmonary valves, but common ventriculoarterial junction

^a Cardiothoracic Department, Great Ormond Street Hospital for Children, London, United Kingdom
^c Cardiology Department, Great Ormond Street Hospital for Children, London, United Kingdom
^d Cardiac Department, Great Ormond Street Hospital for Children, London, United Kingdom
^e Institute of Child Health, London, United Kingdom
^b Green Lane Cardiothoracic Unit, Auckland, New Zealand.

Received for publication June 7, 2007; revisions received July 18, 2007; accepted for publication July 25, 2007.

^_* Address for reprints: Victor T. Tsang, FRCS, Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children, London WC1N 3JH, United Kingdom. (Email: tsangv@gosh.nhs.uk).

The first 20% of the full text of this article appears below.

The concepts of aortopulmonary septation along with the formation of the intrapericardial arterial trunks and the subpulmonary infundibulum, both of which are involved in this case, have been extensively reviewed.^1-3 The unusual malformation of the outflow tracts that we describe here, and which we term a ventriculoarterial septal defect with separate aortic and pulmonary valves, but common ventriculoarterial junction, has not, to the best of our knowledge, previously been documented.

Clinical Summary

A 7-month-old girl weighing 6.2 kg was referred for surgery. She had a diagnosis of a doubly committed ventricular septal defect (DcVSD) with fibrous continuity between the leaflets of the aortic and pulmonary valves in the roof of the defect. During surgery, the heart failed to arrest after aortic crossclamping and infusion of cold blood cardioplegic solution via the aortic root. It became apparent that a communication was present between the proximal components of the aorta and the pulmonary trunk at the level of the valvular sinuses. After snaring the branches of the pulmonary trunk, we were able to achieve cardioplegic arrest. The ascending aorta was opened to reveal a window between the sinuses of the aorta and pulmonary trunk proximal to . . . [Full Text of this Article]

This article has been cited by other articles:

				H. M. Russell, M. L. Jacobs, R. H. Anderson, C. Mavroudis, D. Spicer, E. Corcrain, and C. L. Backer A simplified categorization for common arterial trunk J. Thorac. Cardiovasc. Surg., March 1, 2011; 141(3): 645 - 653. [Abstract] [Full Text] [PDF]