To repair congenital heart defects by means of open heart surgery, the surgeon needs guidance about the location and distribution of the specialized conduction tissues, in order to avoid their direct damage and consequent conduction disturbances. This review addresses the historical steps of the morphological study of the conduction system in different types of heart defects, providing updated information about the subject.
BlalockAHanlonCR. Interatrial septal defect; its experimental production under direct vision without interruption of the circulation. Surg Gynecol Obstet. 1948;87
(2):183–187.
2.
TitusJLDaughertyGWKirklinJWEdwardsJE. Lesions of the atrioventricular conduction system after repair of ventricular septal defect. Relation to heart block. Circulation. 1963;28:82–88.
3.
HudsonRE. Surgical pathology of the conducting system of the heart. Br Heart J. 1967;29
(5):646.
4.
LevMUngerPN. The pathology of the conduction system in acquired heart disease. I. Severe atrioventricular block. AMA Arch Pathol. 1955;60
(5):502–529.
5.
BharatiSLevM. Pathology of atrioventricular block. Cardiol Clin. 1984;2
(4):741–751.
6.
LevM.The architecture of the conduction system in congenital heart disease. I. Common atrioventricular orifice. AMA Arch Path. 1958;65
(2):174–191.
7.
LevM.The architecture of the conduction system in congenital heart disease. II. Tetralogy of Fallot. AMA Arch Path. 1959;67
(5):572–587.
8.
AndersonRHHoSYBeckerAE. The surgical anatomy of the conduction tissues. Thorax. 1983;38
(6):408–420.
9.
DaviesMJAndersonRHBeckerAE. Conduction system in congenital heart disease. In: DaviesMJAndersonRHBeckerAE, editors. The Conduction System of the Heart. London: Butterworths;1983:95–166.
10.
DeanfieldJEHoSYAndersonRHMcKennaWJAllworkSPHallidie-SmithKA. Late sudden death after repair of tetralogy of Fallot: a clinicopathologic study. Circulation. 1983;67
(3):626–631.
11.
FeldtRHDuShaneJWTitusJL. The atrioventricular conduction system in persistent common atrioventricular canal defect: correlations with electrocardiogram. Circulation. 1970;42
(3):437–444.
12.
PillaiRHoSYAndersonRHLincolnC. Ostium primum atrioventricular septal defect: an anatomical and surgical review. Ann Thorac Surg. 1986;41
(4):458–461.
13.
LevMLicataRHMayRC. The conduction system in mixed levocardia with ventricular inversion (corrected transposition). Circulation. 1963;28:232–237.
14.
AndersonRHArnoldRWilkinsonJL. The conducting system in congenitally corrected transposition. Lancet. 1973;1
(7815):1286–1288.
15.
AndersonRHBeckerAEArnoldRWilkinsonJL. The conducting tissues in congenitally corrected transposition. Circulation. 1974;50
(5):911–923.
16.
KurosawaHImaiYBeckerAE. Congenitally corrected transposition with normally positioned atria, straddling mitral valve, and isolated posterior atrioventricular node and bundle. J Thorac Cardiovasc Surg. 1990;99
(2):312–313.
17.
HosseinpourARMcCarthyKPGriselliMSethiaBHoSY. Congenitally corrected transposition: size of the pulmonary trunk and septal malalignment. Ann Thorac Surg. 2004;77
(6):2163–2166.
18.
AndersonRH. The conduction tissues in congenitally corrected transposition. Ann Thorac Surg. 2004;77
(6):1881–1882.
19.
BeckerAEWilkinsonJLAndersonRH. Atrioventricular conduction tissues in univentricular hearts of left ventricular type. Herz. 1979;4
(2):166–175.
20.
EssedCEHoSYShinebourneEAJosephMCAndersonRH. Further observations on conduction tissues in univentricular hearts-surgical implications. Eur Heart J. 1981;2
(1):87–96.
21.
BharatiSLevM. The course of the conduction system in single ventricle with inverted (l-) loop and inverted (l-) transposition. Circulation. 1975;51
(4):723–730.
22.
BharatiSLevM. The conduction system in tricuspid atresia with and without regular (d-) transposition. Circulation. 1977;56
(3):423–429.
23.
Lacour-GayetF. Management of older single functioning ventricles with outlet obstruction due to a restricted “VSD” in double inlet left ventricle and in complex double outlet right ventricle. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2009:130–132.
24.
WilkinsonJLDickinsonDSmithAAndersonRH. Conducting tissues in univentricular heart of right ventricular type with double or common inlet. J Thorac Cardiovasc Surg. 1979;77
(5):691–698.
25.
WilkinsonJLAndersonRHArnoldRHamiltonDISmithA. The conducting tissues in primitive ventricular hearts without an outlet chamber. Circulation. 1976;53
(6):930–938.
26.
LevMGibsonSMillerRA. Ebstein’s disease with Wolff-Parkinson-White syndrome. Am Heart J. 1955;49
(5):724–741.
27.
HoSYGoltzDMcCarthyK. The atrioventricular junctions in Ebstein malformation. Heart. 2000;83
(4):444–449.
28.
SmithAHoSYAndersonRH. The diverse cardiac morphology seen in hearts with isomerism of the atrial appendages with reference to the disposition of the specialised conduction system. Cardiol Young. 2006;16
(5):437–454.