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Andersons pediatric cardiology 1819

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InternationalWorkingGroupforMappingand
CodingofNomenclaturesforPaediatricand
CongenitalHeartDisease.Itdiscussesthe
evolutionofnomenclatureandsurgical
treatmentforthespectrumoflesionsmakingup
thehypoplasticleftheartsyndromeandrelated
malformations.Associatedcodesfordiagnoses
andproceduresarealsopresented..
VanPraaghR,DavidI,WrightGB,VanPraaghS.
LargeRVplussmallLVisnotsinglelv.
Circulation.1980;61:1057–1058.
Itwasthislettertotheeditorthatidentifieda
crucialflawintheapproachtakenbythe
Europeanschoolinanalyzingpatientswith
allegedly“singleventricles”or“univentricular
hearts.”TheBostonianspointedoutthatitwas
philosophicallyunsoundtobasedefinitionsofa
givenstructureononeofitspartsthatwas
variable.Instead,theyestablishedthecrucial
principleofthe“morphologicmethod,”stating
thatthestructuresmustbeidentifiedonthebasis
oftheirmostconstantcomponents.Itwasthis
concept,inturn,whichrevealedthatalmostall
heartswithadouble-inletventriclewere
functionallybutnotanatomicallyuniventricular..
VanPraaghR,OngleyPA,SwanHJC.Anatomic
typeofsingleorcommonventricleinman.


Morphologicandgeometricaspectsof60
necropsiedcases.AmJCardiol.1964;13:367–


386.
Thiswastheinvestigationthatcontinuedthe
notion,initiallyputforwardbyMaudeAbbott,
thattheanteriorchamberinthesettingof
double-inletleftventriclewasnomorethanan
infundibularoutletchamber.Inthis
investigation,however,heartswith
atrioventricularvalvaratresiawereexcluded
fromthe“univentricular”category,albeit
withoutanyscientificreasonbeingofferedfor
theirexclusion..


References
1.VanPraaghR,OngleyPA,SwanHJC.Anatomic
typeofsingleorcommonventricleinman.
Morphologicandgeometricaspectsof60
necropsiedcases.AmJCardiol.1964;13:367–
386.
2.EdwardsJE.Discussion.DavilaJC.2ndHenry
FordHospitalInternationalSymposiumon
CardiacSurgery.AppletonCentury-Crofts:New
York;1977:242.
3.DeanfieldJE,TommasiniG,AndersonRH,
MacartneyFJ.Tricuspidatresia:analysisof
coronaryarterydistributionandventricular
morphology.BrHeartJ.1982;48:485–492.
4.AndersonRH,MacartneyFJ,TynanM,etal.
Univentricularatrioventricularconnexion–the
singleventricletrapunsprung.PedCard.

1983;4:273–280.
5.AndersonRH,BeckerAE,TynanM,etal.The
univentricularatrioventricularconnection:
gettingtotherootofathornyproblem.AmJ
Cardiol.1984;54:822–828.
6.KiralyL,HubayM,CookAC,HoSY,Anderson
RH.Morphologicfeaturesoftheuniatrialbut
biventricularatrioventricularconnection.J



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