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

Ken-ichi ASANO; Isao SAKASHITA; Shoji EGUCHI; Hiroshi ITO; Kunio HOSHINO

doi:10.1536/ihj.8.632

Origin of Both Great Vessels from the Right Ventricle

Report of a Case Without Pulmonary Stenosis

Ken-ichi ASANO, Isao SAKASHITA, Shoji EGUCHI, Hiroshi ITO, Kunio HOSHINO

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JOURNAL FREE ACCESS

1967 Volume 8 Issue 6 Pages 632-641

DOI https://doi.org/10.1536/ihj.8.632

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Published: 1967 Received: January 09, 1967 Available on J-STAGE: December 09, 2008 Accepted: - Advance online publication: - Revised: -
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Date of correction: December 09, 2008 Reason for correction: - Correction: ABSTRACT Details: Wrong : A 5-year-old boy who had a clinical impression of having ventricular septal defect with moderate pulmonary hypertension was ascertained to be this lesion at the time of surgery. The operation was performed successfully constructing a conduit with a rectangular piece of the pericardium. Problems on this lesion are discussed with a brief review of literature.
Right : 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.
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.
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.

Date of correction: December 09, 2008 Reason for correction: - Correction: AFFILIATION Details: Wrong :
1) Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, University of Niigata

Right :
1) the Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, University of Niigata

Date of correction: December 09, 2008 Reason for correction: - Correction: CITATION Details: Wrong : 1. Witham, A.C.: Am. Heart J. 15:121,1953.
2. McGoon, D.C.: Surg. Clin. North America 41:1113, 1961.
3. Redo, S.F., Engle, M.A., Holswade, G.R., and Goldberg, H.P.: J. Thoracic Cardiovas. Surg. 45:526, 1963.
4. Spitzer, A.: Virchow. Arch. f. path. Anat. 243:81, 1923.
5. Shaner, R.F.: Am. J. Anat. 84:431, 1949.
6. Shaner, R.F.: Am. J. Anat. 88:35, 1951.
7. Doerr, W.: Beitr. path. Anat. 115:1, 1955.
8. Neufeld, H.N., DuShane, J.W., Wood, E.H., Kirklin, J.W., and Edwards, J.E.: Circulation 23:399 and 603, 1961.
9. Van Mierop, L.H.S. and Wiglesworth, F.W.: Am. J. Cardiol. 12:226, 1963.
10. Neufeld, H.N., Lucas, R, V., Jr., Lester, R.G., Adams, P., Jr., Anderson, R.C., and Edwards, J.E.: Brit. Heart J. 24:393, 1962.
11. Sakakibara, S., Hashimoto, A., Araki, T., Tsuzuki, Y., Konno, S., Kurashige, K., Takao, A., Toyoda, Y., and Mimori, S.: Thoracic Surg. 17:217, 283 and 342, 1964 (in Japanease).
12. Taussig, H.B.: Congenital malformation of the heart, Vol. II. Cambridge, Mass., Harvard University Press: p. 61, 1960.
13. Mirowski, M., Mehrizi, A., and Taussig, H.B.: Circulation 28:1116, 1963.
14. Morgan, J., Pitman, R., Goodwin, J.F., Steiner, R.E., and Hollman, A.: Brit. Heart J. 24:279, 1962.
15. Rogoff, J.H. and Anthony, W.: Am. Heart J. 72:259, 1966.
16. Engle, M.A., Steinberg, I., Lukas, S., and Goldberg, H.P.: Am. Heart J. 66:755, 1963.
17. Levy, M.J., De Wall, R., Elliott, L.P., and Cuello, L.: Dis. Chest 42:372, 1962.
18. Kirklin, J.W., Harp, R.A., and McGoon, D.C.: J. Thoracic Cardiovas. Surg. 48:1026, 1964.
19. Sakakibara, S., Araki, T., Hashimoto, A., Hiratsuka, H., and Takao, A.: Operation 19: 769, 1965 (in Japanease).

Right : 1. Witham, A. C.: Am. Heart J. 15: 121, 1953.
2. McGoon, D. C.: Surg. Clin. North America 41: 1113, 1961.
3. Redo, S. F., Engle, M. A., Holswade, G. R., and Goldberg, H. P.: J. Thoracic Cardiovas. Surg. 45: 526, 1963.
4. Spitzer, A.: Virchow. Arch. f. path. Anat. 243: 81, 1923.
5. Shaner, R. F.: Am. J. Anat. 84: 431, 1949.
6. Shaner, R. F.: Am. J. Anat. 88: 35, 1951.
7. Doerr, W.: Beitr. path. Anat. 115: 1, 1955.
8. Neufeld, H. N., DuShane, J. W., Wood, E. H.,Kirklin, J. W., and Edwards, J. E.: Circulation 23: 399 and 603, 1961.
9. Van Mierop, L. H. S. and Wiglesworth, F.W. Am. J. Cardiol. 12 : 226, 1963.
10. Neufeld, H. N., Lucas, R, V., Jr., Lester, R. G., Adams, P., Jr., Anderson, R. C., and Edwards, J. E.: Brit. Heart J. 24: 393, 1962.
11. Sakakibara, S., Hashimoto, A., Araki, T., Tsuzuki, Y., Konno, S., Kurashige, K., Takao, A., Toyoda, Y., and Mimori, S., Thoracic Surg. 17: 217, 283 and 342, 1964 (in Japanease).
12. Taussig, H. B.: Congenital malformation of the heart, Vol. II. Cambridge, Mass., Harvard University Press. p. 61, 1960.
13. Mirowski, M., Mehrizi, A., and Taussig, H. B.: Circulation 28: 1116, 1963.
14. Morgan, J., Pitman, R., Goodwin, J. F., Steiner, R. E., and Hollman, A.: Brit. Heart J. 24: 279, 1962.
15. Rogoff, J. H. and Anthony, W.: Am. Heart J. 72: 259, 1966.
16. Engle, M. A., Steinberg, I., Lukas, S., and Goldberg, H. P.: Am. Heart J. 66: 755, 1963.
17. Levy, M. J., De Wall, R., Elliott, L. P., and Cuello, L., Dis. Chest 42: 372, 1962.
18. Kirklin, J. W., Harp, R. A., and McGoon, D.C.: J. Thoracic Cardiovas. Surg. 48: 1026, 1964.
19. Sakakibara, S., Araki, T., Hashimoto, A., Hiratsuka, H., and Takao, A.: Operation 19: 769, 1965 (in Japanease).

Date of correction: December 09, 2008 Reason for correction: - Correction: PDF FILE Details: -

Abstract

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.
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.
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.

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Correction information

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