Diagnosis and Management of Adult Congenital Heart Disease 2011
DOI: 10.1016/b978-0-7020-3426-8.00053-8
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Heterotaxy and Isomerism of the Atrial Appendages

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“…There are bilateral morphologically right or left atrial appendages. 62 Multiple other anomalies are frequently associated, including usually visceral heterotaxy, systemic and pulmonary venous return anomaly, atrioventricular septal defect, pulmonary stenosis/atresia, abnormal ventriculoarterial connections, and various electrical conduction system disturbances. Regarding the electrophysiologic procedures, challenges related to vascular access might typically be encountered in left isomerism, which often present with an interrupted IVC and azygos continuation to a left or right superior vena cava, while the hepatic veins drains directly to the left or right-sided atrium.…”
Section: Heterotaxy Syndromementioning
confidence: 99%
“…There are bilateral morphologically right or left atrial appendages. 62 Multiple other anomalies are frequently associated, including usually visceral heterotaxy, systemic and pulmonary venous return anomaly, atrioventricular septal defect, pulmonary stenosis/atresia, abnormal ventriculoarterial connections, and various electrical conduction system disturbances. Regarding the electrophysiologic procedures, challenges related to vascular access might typically be encountered in left isomerism, which often present with an interrupted IVC and azygos continuation to a left or right superior vena cava, while the hepatic veins drains directly to the left or right-sided atrium.…”
Section: Heterotaxy Syndromementioning
confidence: 99%