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Controversies In The Description Of Congenitally Malformed Hearts

Controversies In The Description Of Congenitally Malformed Hearts

Anderson Robert Henry | Becker Anton E | Williamson A

(1998)

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Abstract

This series of four video tapes, which is based on the demonstrations pre-recorded by Robert H Anderson and Anton E Becker, two prominent European morphologists, shows the essence of the abnormal morphology within carefully selected autopsy specimens, comparing the findings with appropriately dissected normal hearts, and supplementing the anatomic material with diagrams and cartoons. Accompanying these tapes is an explanatory book prepared with extensive full colour illustrations based on the specimens and diagrams used in the videos and supplemented by appropriate material from the extensive files of the authors.The introductory chapter of the book discusses the background to sequential segmental analysis and the importance of the morphological myocardial method of recognizing chambers and arterial trunks in congenitally malformed hearts. The book is also available without the videos.Videos and book together address such crucial questions as:∗ How many segments need to be considered within the heart?∗ Is the myocardial morphologic method the best way of recognizing chambers?∗ Is the atrioventricular junction a common structure in the ostium primum defect?∗ Is there such a thing as isomerism of the atrial appendages?∗ What is the univentricular atrioventricular connection — and are there really any univentricular hearts?∗ Is the infundibulum in tetralogy of Fallot too narrow, too shallow, and too short?To answer these, and many more questions, Anderson and Becker alternately act as devil's advocate in the four videos, each lasting approximately 40 minutes. The individual videos are devoted to:Video and Chapter Titles:∗ Atrioventricular septal defects∗ Hearts with isomeric atrial appendages∗ Tetralogy of Fallot and double outlet right ventricle∗ Hearts with univentricular atrioventricular connection

Table of Contents

Section Title Page Action Price
Contents vii
Foreword v
Chapter 1 Introduction 1
THE MORPHOLOGIC METHOD 1
SEQUENTIAL SEGMENTAL ANALYSIS 11
ONGOING CONTROVERSIES 15
REFERENCES 16
Chapter 2 Atrioventricular Septal Defects 18
STRUCTURE OF THE NORMAL ATRIOVENTRICULAR JUNCTIONS AND THE MITRAL VALVE 21
THE ESSENTIAL FEATURES OF ATRIOVENTRICULAR SEPTAL DEFECT WITH COMMON JUNCTION 30
ANATOMIC VARIANTS 43
THE RASTELLI CLASSIFICATION 49
THE LEFT ATRIOVENTRICULAR VALVE 55
THE ATRIOVENTRICULAR CONDUCTION AXIS 58
HEARTS WHICH ARE NOT ATRIOVENTRICULAR SEPTAL DEFECT WITH COMMON JUNCTION 59
DEVELOPMENTAL CONSIDERATIONS 61
CONCLUSIONS 64
REFERENCES 65
Chapter 3 Isomerism of the Atrial Appendages 67
INTRODUCTION 67
SYMMETRY VERSUS LATERALIZATION 68
MORPHOLOGY OF THE ATRIUMS RELEVANT TO ISOMERISM 76
MORPHOLOGY OF HEARTS WITH ISOMERIC ATRIAL APPENDAGES 85
SYNTHESIS OF FINDINGS 106
DEVELOPMENTAL CONSIDERATIONS 107
REFERENCES 110
Chapter 4 Tetralogy of Fallot 113
INTRODUCTION 113
UNIFYING PATHOLOGY 115
VARIATIONS IN THE CHARACTERISTIC ANATOMY 131
CONTROVERSIAL ASPECTS 141
The right ventricular outflow tract or infundibulum 141
Fallot's tetralogy versus double outlet right ventricle 143
DEVELOPMENTAL CONSIDERATIONS 145
REFERENCES 146
Chapter 5 Hearts with Univentricular Atrioventricular Connection 149
INTRODUCTION 149
THE ATRIOVENTRICULAR JUNCTIONS 150
DESCRIPTION OF VENTRICULAR MORPHOLOGY 163
THE UNIATRIAL BUT BIVENTRICULAR CONNECTION 177
THE OVERALL NATURE OF THE VENTRICULAR MASS 178
DEVELOPMENTAL CONSIDERATIONS 188
REFERENCES 193
Index 195