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Circulation. 1972;46:385-389

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(Circulation. 1972;46:385.)
© 1972 American Heart Association, Inc.


The Conotruncus

II. Report of a Case Showing Persistent Aortic Conus and Lack of Inversion of the Truncus (A Bulboventricular Heart)

DANIEL A. GOOR M.D.1 JESSE E. EDWARDS M.D.1

1 From the Department of Surgery, New York Hospital-Cornell University Medical College, New York, New York, and the Departments of Pathology, The Charles T. Miller Hospital, St. Paul, Minnesota, and the University of Minnesota Medical Center, Minneapolis, Minnesota.

A primitive form of double-outlet right ventricle is described clinically and anatomically. A long tubular conus, arising exclusively from the right ventricle emptied into the transposed great vessels. Together with the presence of A-V canal malformation this heart represented a developmental arrest in the embryonic stage of the bulboventricular loop seen in horizon XV. Diagnosis is made on the basis of right ventricular angiography and theoretically, if this lesion is isolated, this conus malformation is surgically correctable.


Key Words: Right ventricle double outlet • Truncus • Heart embryology • Transposition of great arteries Conus

Submitted on August 31, 1971
Accepted on March 20, 1972