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Further clarification on the variants of double-outlet right atrium


1 Department of Pediatric Cardiology, R.K. Hospital for Women and Children, Thanjavur, Tamil Nadu, India
2 Institute of Genetic Medicine, Newcastle University, Newcastle Upon Tyne, United Kingdom

Correspondence Address:
Dr. Mani Ram Krishna
Department of Pediatric Cardiology, R.K. Hospital for Women and Children, No 7, V.O.C. Nagar, Thanjavur - 613 007, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_76_21

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Year : 2021  |  Volume : 14  |  Issue : 4  |  Page : 490-495

 

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Uniatrial but biventricular atrioventricular connection is a rare congenital cardiac abnormality where the left atria-ventricular connection is absent and the right atrio-ventricular connection straddles the crest of the muscular ventricular septum. This anomaly has been referred to as double outlet right atrium and the atrio-ventricular valve as a common atrioventricular valve in the past.In the absence of a primary atrial septal defect, the atrio-ventricular junction is not a common junction and the valve cannot hence be described as a common trio-ventricular valve. We demonstrate this paradox by an illustrative case and contrast this with two other cases where a common atrio-ventricular valve was predominantly committed to the right atrium.






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1 Department of Pediatric Cardiology, R.K. Hospital for Women and Children, Thanjavur, Tamil Nadu, India
2 Institute of Genetic Medicine, Newcastle University, Newcastle Upon Tyne, United Kingdom

Correspondence Address:
Dr. Mani Ram Krishna
Department of Pediatric Cardiology, R.K. Hospital for Women and Children, No 7, V.O.C. Nagar, Thanjavur - 613 007, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_76_21

Rights and Permissions

Uniatrial but biventricular atrioventricular connection is a rare congenital cardiac abnormality where the left atria-ventricular connection is absent and the right atrio-ventricular connection straddles the crest of the muscular ventricular septum. This anomaly has been referred to as double outlet right atrium and the atrio-ventricular valve as a common atrioventricular valve in the past.In the absence of a primary atrial septal defect, the atrio-ventricular junction is not a common junction and the valve cannot hence be described as a common trio-ventricular valve. We demonstrate this paradox by an illustrative case and contrast this with two other cases where a common atrio-ventricular valve was predominantly committed to the right atrium.






[FULL TEXT] [PDF]*


        
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