Uhl's anomaly is a rare congenital syndrome characterized by the absence of right ventricular myocardium. The widely accepted pathological mechanism is intrauterine myocardial apoptosis. Uhl's syndrome carries a poor prognosis. In rare situations, patients with Uhl's anomaly reach adulthood. We will present a case of a 29-year-old patient with Uhl's syndrome treated at our center, highlighting the diagnostic, surgical, and postoperative challenges in management.
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References
1.
Uhl HSM.
A previously undescribed congenital malformation of the heart: almost total absence of the myocardium of the right ventricle. Bull Johns Hopkins Hosp.
1952;
91(
3):
197-
209.
GerlisLMSchmidt-OttSCHoSYAndersonRH.
Dysplastic conditions of the right ventricular myocardium: Uhl’s anomaly vs arrhythmogenic right ventricular dysplasia. Br Heart J.
1993;
69(
2):
142-
150. doi:10.1136/HRT.69.2.142
4.
JamesTN.
Normal and abnormal consequences of apoptosis in the human heart. Annu Rev Physiol.
1998;
60(
1):
309-
325. doi:10.1146/ANNUREV.PHYSIOL.60.1.309
5.
ChounouneRLowryARamakrishnanKPearsonGDMoakJPNathDS.
Uhl’s anomaly: a one and a half ventricular repair in a patient presenting with cardiac arrest. J Saudi Heart Assoc.
2018;
30(
1):
52-
54. doi:10.1016/j.jsha.2017.03.011
6.
GanczarJEnglishR.
Uhl’s anomaly: absence of the right ventricular myocardium. Ann Pediatr Cardiol.
2015;
8(
1):
71-
73. doi:10.4103/0974-2069.149529
7.
KumarPChaturvediHKhatriPKhatriS.
Uhl’s anomaly: rare but does exist. Asian Cardiovasc Thorac Ann.
2018;
26(
7):
563-
565. doi:10.1177/0218492316674859
8.
HoschtitzkyARowlandsHIlinaMKhambadkoneSElliottMJ.
Single ventricle strategy for Uhl’s anomaly of the right ventricle. Ann Thorac Surg.
2010;
90(
6):
2076-
2078. doi:10.1016/j.athoracsur.2009.12.084