Circulation, Vol 56, 423-429, Copyright © 1977 by American Heart Association
S Bharati and M Lev
This is a serial section examination of conduction system in six hearts
with tricuspid atresia. Four had regular (d-) complete transposition and
two did not have transposition. The conduction system was more or less the
same in all the hearts. The atrioventricular (A-V) node was in the normal
position posteriorly and was short. The A-V bundle was situated in the left
ventricular aspect of the subendocardium and passed posteriorly to the
ventricular septal defect. Even though this type of conduction system is
abnormal in some respects, it is not the type one finds in single ventricle
with small outlet chamber with regular (d-) transposition. In those hearts
an anteriorly located A-V node is present. These findings further
substantiate the concept that tricuspid atresia with or without
transposition is not a form of single (primitive) ventricle.
ARTICLES
The conduction system in tricuspid atresia with and without regular (d- ) transposition
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