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August 1, 1992CirculationOpen Access

Abnormal laterality and congenital cardiac anomalies. Relations of visceral and cardiac morphologies in the iv/iv mouse.

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Key result

Atrial isomerism was universally associated with cardiac lesions (100%), whereas only 3.1% of mice with usual or mirror-image atrial arrangement had cardiac defects.

Population

275 iv/iv mice

Design

Preclinical

Authors

JSJeong‐Wook SeoKorea Atomic Energy Research InstituteNBNigel A. BrownSt George's, University of LondonSHSiew Yen HoAdult Congenital Heart Disease

Discussion

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Implication

Atrial appendage morphology may better predict cardiac defects in laterality disorders; leaves open translation to human heterotaxy risk stratification.

Study Design

Type

Observational (n=275)

Structured PICO

P
Population
275 iv/iv mice evaluated for the relations of cardiac defects with atrial, venous, and other visceral morphologies.
E
Exposure
Morphological examination of the heart and other organs to determine the arrangement of atrial appendages and its relation to cardiac defects
O
Outcome
Arrangement of atrial appendages and its relation to cardiac defects, venous abnormalities, and spleen abnormalitiessurrogate

Main Result

Absolute Event Rate: 100% vs 3.1%

The morphology of atrial appendages is a more consistent predictor of cardiac abnormalities than the arrangement of other organs or systemic venous connections in the iv/iv mouse model of abnormal laterality.

Cite This Study

Seo et al. (1992) conducted an observational in Deranged laterality and congenital cardiac anomalies (n=275). Atrial isomerism vs. Usual or mirror-image arrangement of atrial appendages was evaluated on Presence of cardiac defects. Atrial isomerism was universally associated with cardiac lesions (100%), whereas only 3.1% of mice with usual or mirror-image atrial arrangement had cardiac defects.

synapsesocial.com/papers/6a9797f69f0d7a8a1afac282https://doi.org/10.1161/01.cir.86.2.642

Topics

Congenital heart disease adults
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Morphological considerations pertaining to recognition of atrial isomerism. Consequences for sequential chamber localisation.1980 · 149 citations
  2. 2DEXTROCARDIA AND ISOLATED LAeVOCARDIA I: ISOLATED LAeVOCARDIA1965 · 35 citations
  3. 3VISCERAL INVERSION AND ASSOCIATED ANOMALIES IN THE MOUSE1959 · 200 citations
  4. 4Spectrum of heart malformations in mice with situs solitus, situs inversus, and associated visceral heterotaxy.1991 · 99 citations
  5. 5Linkage mapping of a mouse gene, iv, that controls left-right asymmetry of the heart and viscera.1989 · 133 citations