The association of complete trans portation of the great arteries and com plete interruption of the aortic arch is very rare. This combined lesion was diagnosed clinically in a 1-day-old in fant in whom it caused cyanosis of the upper half of the body. The diagnosis was confirmed angiocardiographically. We believe this is the youngest patient in whom this diagnosis was made in vivo.
Get full access to this article
View all access options for this article.
References
1.
Rannels, H.W. , Propst, J.H.: Incidence of congenital cardiac anomalies found at autopsies performed in Hospital of the University of Pennsylvania . J. Tech. Methods, 17: 113-118, 1937.
2.
Hamburger, L.P. , Jr.: congenital cardiac malformation presenting complete interruption of the isthmus aortae with transposition of the great vessels. Bull. Johns Hopkins Hosp., 61: 421-428, 1937.
3.
Coles, H.M.T. , Holesh S.: transposition of the great vessels with absence of the aortic arch. J. Fac. Radiol., 8: 355-359.
4.
Castellanos, A., Garcia, O., Gonzales, E.: Complete interruption of the aortic arch with transposition of the great vessels. (Report of a case diagnosed in vivo) . Cardiologia, 34: 53-64, 1959.
5.
Blake, H.A., Manion, W.C., Spencer, F.C.: Atresia or absence of the aortic isthmus. J. Thorac. Cardiovasc. Surg., 43: 607-614, 1962.
6.
Elliot, L.P. , Neufeld, H.N., Anderson, R.C., et al.: Complete transposition of the great vessels. I. An anatomic study of sixty cases. Circulation , 27: 1105-1117, 1963.
7.
Moller, J.H. , Edwards, J.E.: Interruption of aortic arch. Anatomic patterns and associated cardiac malformations. Am. J. Roentgenol. Radium Ther. Nucl . Med., 95: 557-572, 1965.
8.
Buckley, M.J. , Mason, D.T., Ross, J., Jr., et al.: Reversed differential cyanosis with equal desaturation of the upper limbs. Syndrome of complete transposition of the great vessels with complete interruption of the aortic arch. Am. J. Cardiol., 15: 111-115, 1965.
9.
Bowers, D.E. , Schiebler, G.L., Krovetz, L.J.: Interruption of the aortic arch with complete transposition of the great vessels. Hemodynamic and angiocardiographic data of a case diagnosed during life. Am. J. Cardiol., 16: 442-448, 1965.
10.
Venables, A.W. : Complete transposition of the great vessels in infancy with reference to palliative surgery. Br. Heart J., 28: 335-341, 1966.
11.
Layman, T.E. , Edwards, J.E.: Anomalies of the cardiac valves associated with complete transposition of the great vessels. Am. J. Cardiol. , 19: 247-255, 1967.
12.
Waldhausen, J.A., Boruchow, I., Miller, W., et al.: Transposition of the great arteries with ventricular septal defect. Palliation by atrial septostomy and pulmonary artery banding. Circulation, 39-40 (Cuppl. 1): 215-221, 1969.
13.
Tawes, R.L. , Panagopoulos, P., Aberdeen, E., et al.: Aortic arch atresia and interruption of the aortic arch. Experience in 11 cases of operation. J. Thorac. Cardiovasc. Surg., 58: 492-501, 1969.
14.
Norton, J.B. , Ullyot, D.J., Stewart, E.T., et al.: Aortic arch atresia with transposition of the great vessels. Physiologic considerations and surgical management. Surgery, 67: 1011-1016, 1970.
15.
Garcia, O., Wilkins, R., Cunha, D., et al.: Left subclavian steal, interrupted aorta arch, complete transposition of the great vessels and single left ventricle. Chest67: 352-354, 1975.
16.
Chesler, E. , Moller, J.H., Edwards, J.E.: Anatomic basis for delivery of right ventricular blood into localized segments of the systemic arterial system. Relation to differential cyanosis. Am. J. Cardiol., 21: 72-80, 1968.
17.
Goor, D.A., Lillehei, C.W.: Congenital Malformations of the Heart. New York, Grune and Stratton, Inc., 1975, p. 277.