Origin of Both Great Vessels from the Right Ventricle : Report of a Case Without Pulmonary Stenosis

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Arare, however, surgically important condition in which both great vessels arise from the right ventricle has been recognized for many years. Witham, 1) applying the term of “double outlet right ventricle” to the anomaly, divided it into two groups clinically at the first time in 1957 : the “Eisenmenger type” without pulmonary stenosis and the “Fallot type” with pulmonary stenosis. The term “origin of both great vessels from the right ventricle” has also been used to define the entity. Since then McGoon2) reported the first case of successful repair in 1961 and was followed by the case of Redo et al.3) which was diagnosed preoperatively and operated upon in May of 1961. <BR>The development of cardilogy and cardiac surgery, and an increasing experiences in cases of tetralogy of Fallot and advanced ventricular septal will be occasionally quite difficult. And from surgical point of view, the recognition of this disease is very important to have it repair correctly even in surgery.<BR>This is an additional case which was clinically very similar to ventricular septal defect with moderate pulmonary hypertension and was found to be the anomaly at surgery.
International Heart Journal刊行会の論文