Single ventricle with normal relationship of the great vessels and pulmonic stenosis

Klaus, Andrew P.; Smith, Robert M.; Schneider, Arthur B.; Parker, Brent M.

doi:10.1016/0002-8703(69)90488-8

Cited by 9 publications

(2 citation statements)

References 24 publications

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“…Thirty-five cases of single ventricle with normally related great vessels have been previously reported (Rosenquist et al, 1963;Anselmi et al, 1968;Klaus et al, 1969;Lev et al, 1969;Edie et al, 1973;Marin-Garcia et al, 1974). Though the case originally described by Holmes did not have pulmonary stenosis, approximately 50 per cent of reported cases of Holmes' heart have had associated pulmonary stenosis.…”

Section: Discussionmentioning

confidence: 97%

“…There is a striking clinical similarity between Holmes' heart with pulmonary stenosis and tetralogy of Fallot (Rosenquist et al, 1963;Klaus et al, 1969;Rao and Edwards, 1974). This review of published papers and report of our own 4 cases is prompted by our experience with a patient with Holmes' heart and pulmonary stenosis Received for publication 1 March 1977 who was sent to operation with the erroneous diagnosis of tetralogy of Fallot.…”

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confidence: 98%

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Primitive ventricle with normally related great vessels and stenotic subpulmonary outlet chamber. Angiographic differentiation from tetralogy of Fallot.

Saalouke¹,

Perry²,

Okoroma³

et al. 1978

Heart

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Four patients with primitive ventricle and normally related great vessels with stenotic subpulmonary outlet chamber (Holmes' heart with pulmonary stenosis) are reported. The history, physical examination, and chest x-ray film are not helpful in distinguishing Holmes' heart with pulmonary stenosis from tetralogy of Fallot. Electrocardiogram often provides the first clue to the presence of Holmes' heart; left axis deviation with or without left ventricular hypertrophy is an unusual finding in tetralogy of Fallot, but common in Holmes' heart. Selective ventriculography is diagnostic: the right ventricular outflow chamber overlies the aortic root and aortic valve in the frontal view in Holmes' heart with pulmonary stenosis, but is to the left of the aortic valve in tetralogy of Fallot; no ventricular septum can be identified in Holmes' heart. The diagnosis can be suspected in a child with clinical features of tetralogy of Fallot but atypical electrocardiogram, and can be established by angiography.

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