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Straddling atrioventricular valve

MedGen UID:
868886
•Concept ID:
C4023297
•
Anatomical Abnormality
HPO: HP:0011562

Definition

Anomalous insertion of the chordae tendinae or papillary muscles into the contralateral ventricle in the presence of a ventricular septum defect. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVStraddling atrioventricular valve

Recent clinical studies

Etiology

Senning With Aortic Translocation and Anatomic Repair for Congenitally Corrected Transposition.
Tam VKH, Erez E, Roten L, Muyskens S, Sebastian V, Tsao C, Nikaidoh H
Ann Thorac Surg 2021 May;111(5):1607-1612. Epub 2020 Oct 10 doi: 10.1016/j.athoracsur.2020.07.056. PMID: 33045205
Aortic translocation in the management of transposition of the great arteries with ventricular septal defect and pulmonary stenosis: results and follow-up.
Morell VO, Jacobs JP, Quintessenza JA
Ann Thorac Surg 2005 Jun;79(6):2089-92; discussion 2092-3. doi: 10.1016/j.athoracsur.2004.11.059. PMID: 15919315
Is a high-risk biventricular repair always preferable to conversion to a single ventricle repair?
Delius RE, Rademecker MA, de Leval MR, Elliott MJ, Stark J
J Thorac Cardiovasc Surg 1996 Dec;112(6):1561-8; discussion 1568-9. doi: 10.1016/S0022-5223(96)70015-6. PMID: 8975848
Cardiac anatomy in patients undergoing the Fontan procedure.
Barlow A, Pawade A, Wilkinson JL, Anderson RH
Ann Thorac Surg 1995 Nov;60(5):1324-30. doi: 10.1016/0003-4975(95)00646-3. PMID: 8526621
Cross-sectional echocardiographic assessment of conditions with atrioventricular valve leaflets attached to the atrial septum at the same level.
Smallhorn JF, Sutherland GR, Anderson RH, Macartney FJ
Br Heart J 1982 Oct;48(4):331-41. doi: 10.1136/hrt.48.4.331. PMID: 7126385Free PMC Article

Diagnosis

Absence of one atrioventricular connection associated with straddling atrioventricular valve: distinction of a solitary from a common valve and further considerations on the diagnosis of ventricular topology.
Aiello V, Ho SY, Anderson RH
Am J Cardiovasc Pathol 1990;3(2):107-13. PMID: 2264983
Straddling atrioventricular valve: two-dimensional echocardiographic diagnosis, classification and surgical implications.
Rice MJ, Seward JB, Edwards WD, Hagler DJ, Danielson GK, Puga FJ, Tajik AJ
Am J Cardiol 1985 Feb 15;55(5):505-13. doi: 10.1016/0002-9149(85)90236-x. PMID: 3969890
Atrioventricular and ventriculoarterial discordance (corrected transposition of the great arteries). Wide-angle two-dimensional echocardiographic assessment of ventricular morphology.
Hagler DJ, Tajik AJ, Seward JB, Edwards WD, Mair DD, Ritter DG
Mayo Clin Proc 1981 Oct;56(10):591-600. PMID: 7278370
Surgical management of straddling atrioventricular valve.
Tabry IF, McGoon DC, Danielson GK, Wallace RB, Tajik AJ, Seward JB
J Thorac Cardiovasc Surg 1979 Feb;77(2):191-201. PMID: 762959
Straddling right atrioventricular valve in criss-cross atrioventricular relationship.
Sieg K, Hagler DJ, Ritter DG, McGoon DC, Maloney JD, Seward JB, Davis GD
Mayo Clin Proc 1977 Sep;52(9):561-68. PMID: 895198

Prognosis

Staged Biventricular Repair-Oriented Strategy in Borderline Biventricular Repair Candidates with Ventricular Septal Defect.
Nakamura Y, Hagino I, Nakajima H, Aoki M
Pediatr Cardiol 2015 Dec;36(8):1712-21. Epub 2015 Jun 24 doi: 10.1007/s00246-015-1221-6. PMID: 26099174
Modified Fontan procedure for complex congenital heart disease.
Hsieh MJ, Lin PJ, Chang CH, Chang JP, Chu JJ, Su WJ
Cardiovasc Surg 1993 Apr;1(2):172-5. PMID: 7521266
Surgical repair of criss-cross heart with straddling atrioventricular valve.
Danielson GK, Tabry IF, Ritter DG, Fulton RE
J Thorac Cardiovasc Surg 1979 Jun;77(6):847-51. PMID: 374883

Clinical prediction guides

Straddling atrioventricular valve: two-dimensional echocardiographic diagnosis, classification and surgical implications.
Rice MJ, Seward JB, Edwards WD, Hagler DJ, Danielson GK, Puga FJ, Tajik AJ
Am J Cardiol 1985 Feb 15;55(5):505-13. doi: 10.1016/0002-9149(85)90236-x. PMID: 3969890
Straddling atrioventricular valves in biventricular hearts. Observations made in 5 cases.
Ostermeyer J, Körfer R, Frenzel H, Bircks W
Thorac Cardiovasc Surg 1980 Aug;28(4):233-8. doi: 10.1055/s-2007-1022085. PMID: 6158123

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