Essential Modifiers of Double Outlet Right Ventricle Revisit With Endocardial Surface Images and 3-Dimensional Print Models

被引:41
作者
Yim, Deane [1 ,2 ]
Dragulescu, Andreea [1 ,2 ]
Ide, Haruki [3 ]
Seed, Mike [1 ,2 ,4 ,5 ]
Grosse-Wortmann, Lars [1 ,2 ,4 ,5 ]
van Arsdell, Glen [3 ]
Yoo, Shi-Joon [1 ,2 ,4 ,5 ]
机构
[1] Hosp Sick Children, Labatt Family Heart Ctr, Toronto, ON, Canada
[2] Univ Toronto, Div Cardiol, Dept Paediat, Toronto, ON, Canada
[3] Hosp Sick Children, Div Cardiovasc Surg, Dept Surg, Toronto, ON, Canada
[4] Hosp Sick Children, Dept Diagnost Imaging, 555 Univ Ave, Toronto, ON M5G 1X8, Canada
[5] Univ Toronto, Toronto, ON, Canada
关键词
double outlet right ventricle; endocardium; heart septal defects; ventricular; printing; three-dimensional; ventricular septum; SEPTAL-DEFECT; CLASSIFICATION; ANATOMY; NOMENCLATURE;
D O I
10.1161/CIRCIMAGING.117.006891
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hearts with double outlet right ventricle are a heterogeneous group of malformations in which a comprehensive diagnostic approach is required for tailored surgical management. This pictorial essay revisits essential modifiers of clinical and surgical importance in management of the patients with double outlet right ventricle using 3-dimensional volume-rendered endocardial surface images and 3-dimensional print models. Special emphasis is paid to the infundibular morphology, including the size and orientation of the outlet septum, relative to the margin of the ventricular septal defect, and the extent of the muscular infundibulum as an additional modifier of the distance between the ventricular septal defect margin and the arterial valve or valves.
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页数:12
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