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Tips and pearls for “true” dextroposition of the aorta in tetralogy of Fallot

Published online by Cambridge University Press:  14 September 2012

Sahin Bozok ,
Mert Kestelli ,
Gökhan Ilhan ,
Orhan Gokalp ,
Berkan Ozpak ,
Muhammet Akyuz ,
Barcin Ozcem  and
Pınar Kestelli
Sahin Bozok*
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, Rize University, Rize Training and Research Hospital, Islampasa, Rize, Turkey
Mert Kestelli
Affiliation:
Department of Cardiovascular Surgery, Izmir Ataturk Training and Research Hospital, Basinsitesi, Izmir, Turkey
Gökhan Ilhan
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, Rize University, Rize Training and Research Hospital, Islampasa, Rize, Turkey
Orhan Gokalp
Affiliation:
Department of Cardiovascular Surgery, Izmir Ataturk Training and Research Hospital, Basinsitesi, Izmir, Turkey
Berkan Ozpak
Affiliation:
Department of Cardiovascular Surgery, Izmir Ataturk Training and Research Hospital, Basinsitesi, Izmir, Turkey
Muhammet Akyuz
Affiliation:
Department of Cardiovascular Surgery, Izmir Ataturk Training and Research Hospital, Basinsitesi, Izmir, Turkey
Barcin Ozcem
Affiliation:
Department of Cardiovascular Surgery, Izmir Ataturk Training and Research Hospital, Basinsitesi, Izmir, Turkey
Pınar Kestelli
Affiliation:
Observer in Department of Cardiovascular Surgery, Varna Medical University, Varna, Bulgaria
*
Correspondence to: Dr S. Bozok, MD, Department of Cardiovascular Surgery, Faculty of Medicine, Rize University, Rize Training and Research Hospital, 53020 Rize, Turkey. Tel: +0905332362442; Fax: +0904642170365; E-mail: sahinboz@yahoo.com
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Abstract

Infundibular stenosis may develop secondary to ventricular septal defect, and transannular patch plasty can affect mortality and morbidity rates. Therefore, dextroposition of the aorta has been investigated in order to eliminate discrepancies in the literature. Figures and illustrations from the selected references have been investigated and “actual dextroposition of the aorta” has been evaluated as far as the aorta is visible. A careful examination of these figures revealed the following tips and pearls for accurate diagnosis of dextroposition of the aorta: Aorta and ventricular septal defect should be adjacent for a “true” dextroposition of the aorta; the plane where the aorta exits from the ventricle should penetrate the plane of the ventricular septal defect towards the right ventricle; if the aorta and ventricular septal defect intersect at one edge, the aorta may seem to be dextroposed; new diagnostic modalities are necessary to evaluate the actual dextroposition status of the aorta for the proper planning of treatment.

Keywords

Tetralogy of Fallotdextroposition of the aortaventricular septal defectnew diagnostic modalitiesinfundibular stenosisinfundibular septum
Type
Original Articles
Information
Cardiology in the Young , Volume 23 , Issue 3 , June 2013 , pp. 377 - 380
Copyright
Copyright © Cambridge University Press 2012 

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