Unguarded left atrioventricular orifice: An unusual cause of hypoplastic left ventricle and double-outlet right ventricle with intact ventricular septum

An unguarded atrioventricular orifice is an extremely rare congenital anomaly characterized by the absence of the atrioventricular valve in varying proportions. While atresia of the mitral or aortic valves are usually described as causes for hypoplastic left heart, our case highlights the role of fr...

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Main Authors: Anand Subramanian, A P Bharath, M Jayaranganath
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Annals of Pediatric Cardiology
Subjects:
Online Access:http://www.annalspc.com/article.asp?issn=0974-2069;year=2019;volume=12;issue=2;spage=153;epage=155;aulast=Subramanian
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author Anand Subramanian
A P Bharath
M Jayaranganath
author_facet Anand Subramanian
A P Bharath
M Jayaranganath
author_sort Anand Subramanian
collection DOAJ
description An unguarded atrioventricular orifice is an extremely rare congenital anomaly characterized by the absence of the atrioventricular valve in varying proportions. While atresia of the mitral or aortic valves are usually described as causes for hypoplastic left heart, our case highlights the role of free atrioventricular valve regurgitation and consequent volume loss of the left heart, giving rise to a small left ventricle. There was an associated double-outlet right ventricle and Type B aortic interruption. While we have attempted to discuss the complex management options in this scenario, the parents decided to withdraw further care.
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spelling doaj.art-57c5aaad3c68431da6f8240dbdd4c1eb2022-12-21T19:23:23ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692019-01-0112215315510.4103/apc.APC_124_18Unguarded left atrioventricular orifice: An unusual cause of hypoplastic left ventricle and double-outlet right ventricle with intact ventricular septumAnand SubramanianA P BharathM JayaranganathAn unguarded atrioventricular orifice is an extremely rare congenital anomaly characterized by the absence of the atrioventricular valve in varying proportions. While atresia of the mitral or aortic valves are usually described as causes for hypoplastic left heart, our case highlights the role of free atrioventricular valve regurgitation and consequent volume loss of the left heart, giving rise to a small left ventricle. There was an associated double-outlet right ventricle and Type B aortic interruption. While we have attempted to discuss the complex management options in this scenario, the parents decided to withdraw further care.http://www.annalspc.com/article.asp?issn=0974-2069;year=2019;volume=12;issue=2;spage=153;epage=155;aulast=SubramanianCongenital mitral valve absencedouble-outlet right ventriclehypoplastic left ventricle
spellingShingle Anand Subramanian
A P Bharath
M Jayaranganath
Unguarded left atrioventricular orifice: An unusual cause of hypoplastic left ventricle and double-outlet right ventricle with intact ventricular septum
Annals of Pediatric Cardiology
Congenital mitral valve absence
double-outlet right ventricle
hypoplastic left ventricle
title Unguarded left atrioventricular orifice: An unusual cause of hypoplastic left ventricle and double-outlet right ventricle with intact ventricular septum
title_full Unguarded left atrioventricular orifice: An unusual cause of hypoplastic left ventricle and double-outlet right ventricle with intact ventricular septum
title_fullStr Unguarded left atrioventricular orifice: An unusual cause of hypoplastic left ventricle and double-outlet right ventricle with intact ventricular septum
title_full_unstemmed Unguarded left atrioventricular orifice: An unusual cause of hypoplastic left ventricle and double-outlet right ventricle with intact ventricular septum
title_short Unguarded left atrioventricular orifice: An unusual cause of hypoplastic left ventricle and double-outlet right ventricle with intact ventricular septum
title_sort unguarded left atrioventricular orifice an unusual cause of hypoplastic left ventricle and double outlet right ventricle with intact ventricular septum
topic Congenital mitral valve absence
double-outlet right ventricle
hypoplastic left ventricle
url http://www.annalspc.com/article.asp?issn=0974-2069;year=2019;volume=12;issue=2;spage=153;epage=155;aulast=Subramanian
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AT mjayaranganath unguardedleftatrioventricularorificeanunusualcauseofhypoplasticleftventricleanddoubleoutletrightventriclewithintactventricularseptum