Journal of the Korean Pediatric Society 1982;25(1):66-71.
Published online January 31, 1982.
A Case of Left Ventricular-Right Atrial Shunt.
Myung Chul Kang1, Hyun Kyung Cho1, Kyong Su Lee1, Du Bong Lee1, Kyung Sub Shinn2, Hong Kyun Lee3
1Department of Pediatrics, Catholic Medical College, Seoul, Korea.
2Department of Radiology, Catholic Medical College, Seoul, Korea.
3Department of Thoracic and Cardiovascular Surgery, Catholic Medical College, Seoul, Korea.
좌심실一우심방 단락1례
강명철1, 조현경1, 이경수1, 이두봉1, 신경섭2, 이홍균3
1카톨릭의대 소아과학교실
2카톨릭의대 방사선과학교실
3카톨릭의대 흉부외과학교실
Abstract
Left ventricular-right atrial shunt is a relatively uncommon defect, which permits as communication between the left ventricle and right atrium. This paper is fifth case report in our country. This patient was noted to have congenital heart disease in two years old. The pathology of this lesion was classified into four types by Perry. The type C is compatible with this case. The first successful surgical correction was made by Kirby in 1957. The pathology of this lesion was classified into four types by Perry. The type C is compatible with this case. The first successful surgical correction was made by Kirby in 1957. In 12 years old boy, we have experienced a case of left ventricular-right atrial shunt. In selective left ventricular angiocardiography, we found opacification to right atrium and main pulmonary artery simultaneously, and also opacified right ventricle later. Operation was performed during cardiopulmonary bypass. We opened right atrium and found out a defect just below the annulus of the tricuspid valve. The defect measuring 6mm in diameter communicate the left ventricle with right atrium through a segment of the septal leaflet fused to the margins of the septal defect. In the tricuspid valve, a cleft, 4mm in length and a isolated perforation(2mm in diameter) were found in the septal leaflet. Associated cardiac anomaly was a non-functioning patent foramen ovale. The recovery was uneventful and discharged healthily on fourteenth day after operation.
Key Words: Left ventricular-right atrial shunt, Congental heart disease, Open heart surgery




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