Senning Procedure for Physiological Atrial Inversion With Left Atrial Isomerism

Figures

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  Figure 1. Schematic Diagram of the Complex Anatomy AO = aorta; conf = confluence; HV = hepatic vein; IVC = inferior vena cava; LAA = left atrial appendage; PA = pulmonary artery; PV = pulmonary vein; RV = right ventricle; SVC = superior vena cava.

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  Figure 2. Chest Radiograph at Birth Showing Right-Sided Congenital Diaphragmatic Hernia

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  Figure 3. Electrocardiogram on Second Day of Life Junctional bradycardia (heart rate 60 beats/min), with a prolonged corrected QT interval of 600 ms with a long ST-segment.

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  Figure 4. Subcostal Short-Axis Echocardiographic Findings Showing the relationship of IVC, which is Anterior and Left to the AO AO = aorta; IVC = inferior vena cava.

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  Figure 5. CTA Confirming Connection of Pulmonary Venous Confluence to a Right-Sided Atrium With a Morphological LAA CTA = computed tomographic angiography; LAA = left atrial appendage; PV = pulmonary vein; RV = right ventricle.

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  Figure 6. CTA Confirming the Bilateral Morphological Left Bronchi

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  Figure 7. 4-Chamber Echocardiographic View Showing Noncompaction of the Left Ventricle Pulmonary venous (PV) confluence (conf.) is connected to the right-sided atrium.

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  Figure 8. Atrial Angiogram Demonstrating the Connection of Systemic Veins to the Left-Sided Atrium With a Morphological LAA HV = hepatic vein; IVC = inferior vena cava; LAA = left atrial appendage; SVC = superior vena cava.

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  Figure 9. Echocardiogram Demonstrating no Obstruction to Systemic or Pulmonary Intra-Atrial Baffle After Senning Procedure LV = left ventricle; PB = pulmonary intra-atrial baffle; RV = right ventricle; SB = systemic intra-atrial baffle.