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Tricuspid Atresia : A Re-evaluation and Classification

Journal of the Korean Pediatric Society 1993;36(12):1716-1720.
Published online December 15, 1993.
Tricuspid Atresia : A Re-evaluation and Classification
Jun Hee Sul, Jong Kyun Lee, Seok Min Choi, Sung Kyu Lee
Division of Pediatric Cardiology, cardiovascular Center, Yonsei University, College of Medicine, Seoul, Korea
삼첨판 폐쇄 : 새로운 임상적 분류의 검토
설준희, 이종균, 최석민, 이승규
연세대학교 의과대학 심장혈관센터 소아심장과
Abstract
Morphological evaluations accounting the associated anomalies were performed in the 60 cases of tricuspid atresia, diagnosed at Divsion of Pediatric Cardiology. The following results were obtained. 1) Twenty one out of the 6 cases had transposition of the great vessels, among which 8 cases were in complete A-transposition. 2) Seven cases were associated with pulmonany atresia, in 1 case, aorts arise from morphological right ventricle and in 6 cases, aorta from morphological left ventricle. Pulmonary stenosis or pulmonary outflow obstruction was found in 52 cases except the rest 8 cases. 3) Four cases were associated with double outlet right ventricle and double outlet left ventricle in 1 case. In conclusion, for the classification of tricuspid atresia on the clinical basis, every possible interrelation of great vessls should be put into full consideration and pulmonary atresia, with very few exceptions, be separated as and isolated item due to the impracticability to verify the origin of pulmonary arteries.
Key Words: Tricuspid atresia, Classification


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