Left Juxtaposition of Atrial Appendage Accompanying Complete TGA and Total Anomalous Pulmonary Venous Drainage (One Case Report)

와전 대혈관전위증과 전 페정맥 이상환류증을 동반한 양측심이의 좌측병치증 -1례 보고-

  • 박재길 (가톨릭 의과대학 흉부외과학교실)
  • Published : 1980.12.01

Abstract

The juxtaposition of atrial appendage may possibly be diagnosed by angiography recently, and it is widely regarded as an ominous sign of severe cyanotic congenital heart disease. However, it is apparently rare congenital cardiac anomaly in which the atrial appendages lie side by side, both to the left or right of the great arteries, known as left or right juxtaposition of the atrial appendages. Juxtaposition of the atrial appendages has no functional significance, since it does not, itself, cause any hemodynamic disturbance. But it`s presence always indicates the coexistence of other major cardiac anomalies. In review of literatures TGA and VSD are invariable present, and ASD is common. Other anomalies, such as, tricuspid atresia, pulmonary outflow that, obstruction bicuspid pulmonic valve, persistent SVC etc. are relatively high incidence. In this report, we present one case of 6 year old female child having left juxtaposition of atrial appendage combined with TGA [D-looping, D-transposition], TAPVD, large ASD, small VSD, and vertical vein.

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