Hostname: page-component-848d4c4894-pftt2 Total loading time: 0 Render date: 2024-06-10T23:02:23.500Z Has data issue: false hasContentIssue false
  • English
  • Français

Diagnosis of left juxtaposition of the atrial appendages in the fetus

Published online by Cambridge University Press:  19 August 2008

Mustafa Abdullah ,
Shi-Joon Yoo ,
Young-Ho Lee ,
Jeffrey Smallhorn  and
Lisa K. Hornberger
Mustafa Abdullah
Affiliation:
Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children and University of Toronto, Ontario, Canada
Shi-Joon Yoo*
Affiliation:
Department of Diagnostic Imaging, The Hospital for Sick Children and University of Toronto, Ontario, Canada Department of Diagnostic Radiology, Samsung Cheil Hospital & Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Young-Ho Lee
Affiliation:
Department of Diagnostic Radiology, Samsung Cheil Hospital & Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Jeffrey Smallhorn
Affiliation:
Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children and University of Toronto, Ontario, Canada
Lisa K. Hornberger
Affiliation:
Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children and University of Toronto, Ontario, Canada
*
Dr. Shi-Joon Yoo, Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada, M5G 1X8. Tel: (416) 813–6037; Fax: (416) 216–0344; E-mail: shi-joon.yoo@sickkids.on.ca
Get access Rights & Permissions [Opens in a new window]

Abstract

We describe two cases of left juxtaposition of the atrial appendages in which fetal echocardiograms provided a clue to the diagnosis. Both cases were associated with complex cyanotic congenital heart disease. The clue to the diagnosis was found at the three-vessel view. Abnormal vascular spaces were seen on the left side of the cross-sections of the great arterial trunks.

Keywords

Juxtapositionatrial appendagesfetal echocardiographyprenatal diagnosis
Type
Original Articles
Information
Cardiology in the Young , Volume 10 , Issue 3 , May 2000 , pp. 220 - 224
Copyright
Copyright © Cambridge University Press 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Freedom, MR, Guiham, JAG, Moes, CAF. Juxtaposition of atrial appendages and anomalies of the right atrial walls. In: Angiography of Congenital Heart Disease. New York: Macmillan Publishing Company, 1984, pp. 72–76.Google Scholar
2. Yoo, S-J, Seo, JW, Ishikawa, S, Lee, SW, Lee, WH, Han, MC. Dextroposition of the great arteries and left juxtaposition of the atrial appendage produced in chick embryos. Developmental Cardiology: Morphogenesis and Function. New York: Futura, 1990, pp.505–519.Google Scholar
3.Meihuish, BPP, Van Praagh, R. Juxtaposition of the atrial appendages: a sign of severe cyanotic congenital heart disease. Br Heart J 1968; 30: 269–284.CrossRefGoogle Scholar
4.Van Praagh, S, O'Sullivan, J, Brilli, S, Van Praagh, R. Juxtaposition of the morphologically left atrial appendage in solitus and inversus atria: a study of 18 postmortem cases. Am Heart J 1996; 132: 391–402.CrossRefGoogle Scholar
5.Van Praagh, S, O'Sullivan, J, Brilli, S, Van Praagh, R. Juxtaposition of the morphologically right atrial appendage in solitus and inversus atria: a study of 35 postmortem cases. Am Heart J 1996; 132: 382–390.CrossRefGoogle Scholar
6.Allan, LD, Leanage, R, Wainwright, R, Joseph, MC, Tynan, M. Balloon atrial septostomy under two dimentional echocardio graphic control. Br Heart J 1982; 47: 41–43.CrossRefGoogle Scholar
7.Anderson, RH, Smith, A, Wilkinson, JL. Right juxtaposition of the auricular appendages. Eur J Cardiol 1976; 4: 495–503.Google ScholarPubMed
8.Anjos, RT, Ho, SY, Anderson, RH. Surgical implications of juxta position of the atrial appendages. A review of forty-nine autopsied hearts. J Thorac Cardiovasc Surg 1990; 99: 897–904.CrossRefGoogle Scholar
9.Allwork, SF, Urban, AE, Anderson, RH. Left juxtaposition of the auricles with L-position of the aorta. Report of 6 cases. Br Heart J 1977; 39: 299–308.CrossRefGoogle ScholarPubMed
10.Kidani, M, Moto, T, Okamura, H. Surgical repair of tricuspid atresia with juxtaposition of the atrial appendages, direct anastomosis of the right atrial appendage to the pulmonary artery. Kyobu Geka 1979; 32: 630–633.Google Scholar
11.Leu, MR, Chiu, IS, Hung, CR, Wu, MH. Surgical implications of juxtaposed atrial appendages and the associated anomalies. Ann Thorac Surg 1992; 54: 134–136.CrossRefGoogle ScholarPubMed
12.Wood, AE, Freedom, RM, Williams, WG, Trusler, GA. The Mustard procedure in transposition of the great arteries associated withjuxtaposition of the atrial appendages with and without dextrocardia. J Thorac Cradiovasc Surg 1983; 85: 451–456.CrossRefGoogle ScholarPubMed
13.Dehmis, WC, Eldridge, J, Jordan, SC, Wisheart, JD. Modification of the Senning repair in a case of transposition of the great arteries with juxtaposition of the atrial appendages. Eur J Cardiothorac Surg 1995; 9: 50–51.CrossRefGoogle Scholar
14.Rice, MJ, Seward, JB, Hagler, DJ, Edward, WD, Julsrud, PR, Tajik, AJ. Left juxtaposed atrial appendages: diagnostic two-dimensional echocardiographic features. J Am Coil Cardiol 1983; 1: 1330–1336.CrossRefGoogle ScholarPubMed
15.Yoo, SJ, Lee, YH, Cho, KS, Kim, DY. Sequential segmental approach to fetal congenital heart disease. Cardiol Young 1999; 9(4): 430–444.CrossRefGoogle ScholarPubMed
16.Yoo, SJ, Lee, YH, Cho, KS. Abnormal three-vessel view on sonography: a clue to the diagnosis of congenital heart disease in the fetus. AJR 1999; 172: 825–830.CrossRefGoogle Scholar
17.Yoo, SJ, Lee, YH, Kim, E-S et al. , Three-vessel view of the fetal upper mediastinum: an easy means of detecting abnormalities of the ventricular outflow tracts and great arteries during obstetric screening. Ultrasound Obstet Gynecol 1997; 9: 173–182.CrossRefGoogle ScholarPubMed