This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by SHAFFER, A. B. Articles by LEV, M. Search for Related Content PubMed PubMed Citation Articles by SHAFFER, A. B. Articles by LEV, M. Pubmed/NCBI databases Medline Plus Health Information Congenital Heart Defects

(Circulation. 1967;36:783.)
© 1967 American Heart Association, Inc.

---

Truncal Inversion with Biventricular Pulmonary Trunk and Aorta from Right Ventricle (Variant of Taussig-Bing Complex)

AARON B. SHAFFER M.D.¹; JOSÉ F. LOPEZ M.D.¹; IRWIN K. KLINE M.D.¹; MAURICE LEV M.D.¹

¹ From the Congenital Heart Disease Research and Training Center, Hektoen Institute for Medical Research; the Division of Cardiovascular Disease, Department of Medicine, and the Otto Saphir Pathology Institute, Michael Reese Hospital and Medical Center; the Departments of Pathology of Northwestern University Medical School, University of Chicago School of Medicine, and University of Illinois College of Medicine, Chicago, Illinois.

A heart is described pathologically in which the aorta emerged from the right ventricle and was not related to the ventricular septal defect, while the pulmonary trunk emerged from both ventricles, but mostly the right, and was related to the ventricular septal defect. This Taussig-Bing arrangement of vessels was coupled with the presence of the aortic orifice to the left and the pulmonic orifice to the right, which is an inverted position. The anatomic concept of inversion is an abnormality in position from the standpoint of laterality. A careful study of the conal regions of the left and right ventricles showed that those regions were not inverted. Therefore, this represents a case of Taussig-Bing complex with exclusively truncal inversion, which is unique. This may be explained on the basis of opposite metameric contribution to the development of the truncus.

Key Words: Congenital heart disease • Truncus • Double-outlet right ventricle • Transposition of the great vessels

This article has been cited by other articles:

				H. L. Walters III, C. Mavroudis, C. I. Tchervenkov, J. P. Jacobs, F. Lacour-Gayet, and M. L. Jacobs Congenital Heart Surgery Nomenclature and Database Project: double outlet right ventricle Ann. Thorac. Surg., April 1, 2000; 69(4): S249 - 263. [Abstract] [Full Text] [PDF]