Right and Left Isomerism: The Cardiac Surgeon's View
We have treated by palliative or corrective surgery 12 patients with the complex cardiovascular anomalies associated with right isomerism (asplenia syndrome) or left isomerism (polysplenia syndrome). A systemic-pulmonary artery shunt was performed in 4 patients, with 2 early deaths. Anatomical intra...
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| Veröffentlicht in: | The Annals of thoracic surgery 1983-04, Vol.35 (4), p.400-405 |
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| container_title | The Annals of thoracic surgery |
| container_volume | 35 |
| creator | Marcelletti, C. Donato, R. Di Nijveld, A. Squitieri, C. Bulterijs, A.H. Naeff, M. Schuller, J. Becker, A.E. |
| description | We have treated by palliative or corrective surgery 12 patients with the complex cardiovascular anomalies associated with right isomerism (asplenia syndrome) or left isomerism (polysplenia syndrome). A systemic-pulmonary artery shunt was performed in 4 patients, with 2 early deaths. Anatomical intracardiac repair was successfully done in 2 patients, while an orthoterminal repair using a modified Fontan procedure was attempted in 5 patients, only 1 of whom survived. A 1-year-old girl with diffuse pulmonary arteriovenous fistulas associated with left isomerism was not considered a good candidate for operation after an exploratory sternotomy. The surgical options and technical problems related to the complex intracardiac morphology of these developmental syndromes are presented. |
| doi_str_mv | 10.1016/S0003-4975(10)61592-5 |
| format | Article |
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Di ; Nijveld, A. ; Squitieri, C. ; Bulterijs, A.H. ; Naeff, M. ; Schuller, J. ; Becker, A.E.</creator><creatorcontrib>Marcelletti, C. ; Donato, R. Di ; Nijveld, A. ; Squitieri, C. ; Bulterijs, A.H. ; Naeff, M. ; Schuller, J. ; Becker, A.E.</creatorcontrib><description>We have treated by palliative or corrective surgery 12 patients with the complex cardiovascular anomalies associated with right isomerism (asplenia syndrome) or left isomerism (polysplenia syndrome). A systemic-pulmonary artery shunt was performed in 4 patients, with 2 early deaths. Anatomical intracardiac repair was successfully done in 2 patients, while an orthoterminal repair using a modified Fontan procedure was attempted in 5 patients, only 1 of whom survived. A 1-year-old girl with diffuse pulmonary arteriovenous fistulas associated with left isomerism was not considered a good candidate for operation after an exploratory sternotomy. The surgical options and technical problems related to the complex intracardiac morphology of these developmental syndromes are presented.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(10)61592-5</identifier><identifier>PMID: 6188418</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Arteriovenous Shunt, Surgical ; Child ; Child, Preschool ; Dextrocardia - surgery ; Female ; Heart Defects, Congenital - surgery ; Heart Septal Defects - surgery ; Humans ; Infant ; Infant, Newborn ; Male ; Palliative Care ; Prognosis ; Pulmonary Veins - abnormalities ; Spleen - abnormalities ; Syndrome</subject><ispartof>The Annals of thoracic surgery, 1983-04, Vol.35 (4), p.400-405</ispartof><rights>1983 The Society of Thoracic Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-56a1903117772a5554782fc69710e6fa2a8d42cf0b4d0dea8baf689be0c03e2f3</citedby><cites>FETCH-LOGICAL-c442t-56a1903117772a5554782fc69710e6fa2a8d42cf0b4d0dea8baf689be0c03e2f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6188418$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marcelletti, C.</creatorcontrib><creatorcontrib>Donato, R. 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A 1-year-old girl with diffuse pulmonary arteriovenous fistulas associated with left isomerism was not considered a good candidate for operation after an exploratory sternotomy. The surgical options and technical problems related to the complex intracardiac morphology of these developmental syndromes are presented.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arteriovenous Shunt, Surgical</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dextrocardia - surgery</subject><subject>Female</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Heart Septal Defects - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Palliative Care</subject><subject>Prognosis</subject><subject>Pulmonary Veins - abnormalities</subject><subject>Spleen - abnormalities</subject><subject>Syndrome</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS0EKqXwCZWy4rEI2I7tOGwQqnhJlZBoYWs59rg1appiJyD-nvShblmNZu6duZqD0JDga4KJuJlgjLOUFTm_JPhKEF7QlB-gPuGcpoLy4hD195ZjdBLjZ9fSTu6hniBSMiL7iL352bxJ9NImY3BN8hLrCoKP1W0ynUMy0sF6bZJJG2ZQLy9i8uHh5xQdOb2IcLarA_T--DAdPafj16eX0f04NYzRJuVCkwJnhOR5TjXnnOWSOiOKnGAQTlMtLaPG4ZJZbEHLUjshixKwwRlQlw3Q-fbuKtRfLcRGVT4aWCz0Euo2KolZJmied0a-NZpQxxjAqVXwlQ6_imC1pqU2tNQaxXq0oaV4tzfcBbRlBXa_tcPT6XdbHbovvz0EFY2HpQHrA5hG2dr_k_AHgrl3Sg</recordid><startdate>198304</startdate><enddate>198304</enddate><creator>Marcelletti, C.</creator><creator>Donato, R. 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Di ; Nijveld, A. ; Squitieri, C. ; Bulterijs, A.H. ; Naeff, M. ; Schuller, J. ; Becker, A.E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-56a1903117772a5554782fc69710e6fa2a8d42cf0b4d0dea8baf689be0c03e2f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arteriovenous Shunt, Surgical</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Dextrocardia - surgery</topic><topic>Female</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Heart Septal Defects - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Palliative Care</topic><topic>Prognosis</topic><topic>Pulmonary Veins - abnormalities</topic><topic>Spleen - abnormalities</topic><topic>Syndrome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marcelletti, C.</creatorcontrib><creatorcontrib>Donato, R. Di</creatorcontrib><creatorcontrib>Nijveld, A.</creatorcontrib><creatorcontrib>Squitieri, C.</creatorcontrib><creatorcontrib>Bulterijs, A.H.</creatorcontrib><creatorcontrib>Naeff, M.</creatorcontrib><creatorcontrib>Schuller, J.</creatorcontrib><creatorcontrib>Becker, A.E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marcelletti, C.</au><au>Donato, R. Di</au><au>Nijveld, A.</au><au>Squitieri, C.</au><au>Bulterijs, A.H.</au><au>Naeff, M.</au><au>Schuller, J.</au><au>Becker, A.E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Right and Left Isomerism: The Cardiac Surgeon's View</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1983-04</date><risdate>1983</risdate><volume>35</volume><issue>4</issue><spage>400</spage><epage>405</epage><pages>400-405</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>We have treated by palliative or corrective surgery 12 patients with the complex cardiovascular anomalies associated with right isomerism (asplenia syndrome) or left isomerism (polysplenia syndrome). A systemic-pulmonary artery shunt was performed in 4 patients, with 2 early deaths. 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| fulltext | fulltext |
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| ispartof | The Annals of thoracic surgery, 1983-04, Vol.35 (4), p.400-405 |
| issn | 0003-4975 1552-6259 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_80436277 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Arteriovenous Shunt, Surgical Child Child, Preschool Dextrocardia - surgery Female Heart Defects, Congenital - surgery Heart Septal Defects - surgery Humans Infant Infant, Newborn Male Palliative Care Prognosis Pulmonary Veins - abnormalities Spleen - abnormalities Syndrome |
| title | Right and Left Isomerism: The Cardiac Surgeon's View |
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