Summary
Five patients with ventricular inversion, corrected transposition of the great arteries, and atresia of the left-sided atrioventricular (tricuspid) valve have been observed. Three patients died in infancy, two had large interatrial communications, one with an early stage of arterial-type hypertensive pulmonary vascular disease, and the third patient had a very small interatrial communication and severe cyanosis. The other two patients survived into adulthood; both had small interatrial communications, and one had severe venous-type hypertensive pulmonary vascular disease. The longer survival of the two patients is attributed to a balance between resistance and blood flow in the pulmonary circulation influenced by the size of the interatrial communication.
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This work was supported by NIH grant HL 22963 from the National Heart, Lung and Blood Institute.
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Tazelaar, H.D., Moore, G.W. & Hutchins, G.M. Ventricular inversion and tricuspid atresia (VITA complex): Long survival without surgical treatment. Pediatr Cardiol 6, 187–191 (1986). https://doi.org/10.1007/BF02310996
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DOI: https://doi.org/10.1007/BF02310996