Skip to main content
Log in

Sequential angiographic analysis in congenital heart malformations

  • Radiology for the Surgeon
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

A segmental angiographic analysis of congenital heart malformations has been developed with the intention of making evaluation of complex congenital heart anomalies as comprehensive as possible. Each vascular and cardiac segment is analysed sequentially, considering morphology, connections, and relations. Additional associated cardiovascular abnormalities such as shunts, stenoses, hypoplasias and atresias are also considered. Information analysed and presented in this way has more immediate anatomic and physiologic meaning than ambiguous terms, often with obscure embryologic implications. Disagreements regarding definitions and nomenclature will continue; however, a logical framework that allows clear communication among cardiologists, surgeons, and angiographers is absolutely necessary and is provided by the orderly analysis presented here.

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

Access this article

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

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Lev M.Pathological diagnosis of positional variations in cardiac chambers in congenital heart disease. Lab Invest 1954;3: 71–82.

    PubMed  CAS  Google Scholar 

  2. Stanger P, Rudolph AM, Edwards JE.Cardiac malpositions. An overview based on study of sixty-five necropsy specimens. Circulation 1977,56: 159–72.

    PubMed  CAS  Google Scholar 

  3. Ugarte M, Enriquez de Salamanca R, Quero M.Endocardial cushion defects. Br Heart J 1976;38: 674–82.

    Article  PubMed  CAS  Google Scholar 

  4. Van Praagh R, Weinbert PM, Van Praagh S.Malposition of the heart. In: Moss AJ, Adams F. Emmanouilides G, eds.Heart Disease in Infants, Children and Adolescents, 2nd ed. Baltimore: William and Wilkins, 1977; 394–417.

    Google Scholar 

  5. De la Cruz MV, Berrazueta JR, Arteaga M.Attie F, Soni J.Rules for diagnosis of atrioventricular discordance and spatial identification of ventricles. Crossed great arteries and transposition of the great arteries. Br Heart J 1976;38: 341–54.

    Article  PubMed  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  7. Soto B, Russinovich N.Angiografia de las cardiopatias congenitas, Medicina 1979;39: 2391–401.

    Google Scholar 

  8. Shinebourne EA, Macartney FJ, Anderson RH.Sequential chamber location—logical approach to diagnosis in congenital heart disease. Br Heart J. 1976;38: 327–40.

    Article  PubMed  CAS  Google Scholar 

  9. Bargeron LM Jr,Elliott LP, Soto B, Bream PR, Curry GC.Axial cineangiography in congenital heart disease, Section I. Circulation 1977;56: 1075–83.

    PubMed  Google Scholar 

  10. Elliott LP, Bargeron LM Jr,Bream PR, Soto B, Curry GC.Axial cineangiography in congenital heart disease, Section II. Circulation 1977;56: 1084–93.

    Google Scholar 

  11. Lev M, Liberthson RR, Ekener FA, Arcilla RA.Pathological anatomy of dextrocardia and its clinical implications. Circulation 1968;38: 979–98.

    Google Scholar 

  12. Soto B, Bargeron LM Jr,Bream PR, Elliot LP.Conditions with atrioventricular discordance—angiographic study.In:Anderson RH, Shinebourne EA, eds. Paediatric Cardiology 1977, London: Churchill Livingstone, 1978: 207–23.

    Google Scholar 

  13. Van Mierop LHS, Wiglesworth FW.Isomerism of the cardiac atria in the asplenia syndrome. Lab Invest 1962;2: 1303–15.

    Google Scholar 

  14. Soto B, Pacifico AD, Souza AS, Bargeron LM Jr,Ermocilla R, Tonkin IL.Identification of thoracic isomerism from the plain chest radiograph. AJR 1978;131: 995–1002.

    PubMed  CAS  Google Scholar 

  15. Caruso G, Becker AE.How to determine atrial situs? Considerations initiated by 3 cases of absent spleen with a discordant anatomy between bronchi and atria. Br Heart J 1979;41: 559–67.

    Article  PubMed  CAS  Google Scholar 

  16. Shea PM, Lutz JF, Vieweg WVR, Corcoran FH, Van Praagh R, Hougen TJ.Selective coronary arteriography in congenitally corrected transposition of the great arteries. Am J Cardiol 1979;44: 1201–6.

    Article  PubMed  CAS  Google Scholar 

  17. Anderson RH, Macartney FJ, Shinebourne EA, Tynan M.Definition of cardiac chambers.In:Anderson RH, Shinebourne EA, eds. Paediatric Cardiology 1977. London: churchill Livingstone, 1978: 5–15.

    Google Scholar 

  18. Soto B, Bertranou GE, Souza A, Bargeron LM Jr.Angiographic study of univenticular heart of right ventricular type. Circulation 1979;60: 1325–34.

    PubMed  CAS  Google Scholar 

  19. Tynan MJ, Becker AE, Macartney FJ, Querojimenez M, Shinebourne EA, Anderson RH.Nomenclature and classification of congenital heart disease. Br Heart J 1979;41: 544–53.

    Article  PubMed  CAS  Google Scholar 

  20. Freedom RM, Culham G, Rowe RD.The criss cross and superoinferior ventricular heart. An angiogrophic study.Am J Cardiol 1978;42: 620–7.

    Article  PubMed  CAS  Google Scholar 

  21. Anderson RH, Macartney FJ, Shinebourne EA, Tynan M.Atrioventricular connections In: Anderson RH, Shinebourne EA, eds. PaediatricCardiology 1977. London: Churchill Livingstone, 1978; 27–35.

    Google Scholar 

  22. Tandon R, Becker AE, Moller JH, Edwards JE.Double inlet left ventricle. Br. Heart J 1974:36: 747–59.

    Article  PubMed  CAS  Google Scholar 

  23. Milo S. Siew YH, Macartney FJ, Wilkinson JL-et al. Straddling and overriding atrioventricular valves morphology and classification. Am J Cardiol 1979;44: 1122–34.

    Article  PubMed  CAS  Google Scholar 

  24. Pacifico A, Soto B, Bargeron LM Jr.Surgical treatment of straddling tricuspid valves. Circulation 1979;60: 655–64.

    PubMed  CAS  Google Scholar 

  25. Anderson RH, Shinebourne EA, Gerlis LM.Criss-cross atriventricular relationships producing paradoxical atrioventricular concordance or discordance. Circulation 1974;50: 176–80.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nath, P.H., Arciniegas, J.C., Soto, B. et al. Sequential angiographic analysis in congenital heart malformations. Indian J Thorac Cardiovasc Surg 2, 80–93 (1983). https://doi.org/10.1007/BF02664884

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02664884

Key words

Navigation