{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:16:15Z","timestamp":1787494575375,"version":"build-2736575974"},"reference-count":71,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,6,19]],"date-time":"2022-06-19T00:00:00Z","timestamp":1655596800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiac Surgery"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>To review the anatomical details, diagnostic challenges, associated cardiovascular anomalies, and techniques and outcomes of management, including re\u2010interventions, for the rare instances of transposition physiology with concordant ventriculo\u2010arterial connections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We reviewed clinical and necropsy studies on diagnosis and surgical treatment of individuals with transposition physiology and concordant ventriculo\u2010arterial connections, analyzing also individuals with comparable flow patterns in the setting of isomerism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among reported cases, just over two\u2010thirds were diagnosed during surgery, after initial palliation, or after necropsy. Of the patients, four\u2010fifths presented in infancy with either cyanosis or congestive cardiac failure, with complex associated cardiac malformations. Nearly half had ventricular septal defects, and one\u2010fifth had abnormalities of the tricuspid valve, including hypoplasia of the morphologically right ventricle. A small minority had common atrioventricular junctions We included cases reported with isomerism when the flow patterns were comparable, although the atrioventricular connections are mixed in this setting. Management mostly involved construction of intraatrial baffles, along with correction of coexisting anomalies, either together or multistaged. Overall mortality was 25%, with one\u2010fifth of patients requiring pacemakers for surgically\u2010induced heart block. The majority of survivors were in good functional state.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The flow patterns produced by discordant atrioventricular and concordant ventriculo\u2010arterial connections remain an important, albeit rare, indication for atrial redirection\n                      <jats:bold>or hemi\u2010Mustard's procedure with bidirectional Glenn<\/jats:bold>\n                      . The procedure recruits the morphologically left ventricle in the systemic circuit, producing good long\u2010term functional results. The approach can also be used for those with isomeric atrial appendages and comparable hemodynamic circuits.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocs.16688","type":"journal-article","created":{"date-parts":[[2022,6,19]],"date-time":"2022-06-19T08:04:55Z","timestamp":1655625895000},"page":"2823-2834","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Transposition physiology in the setting of concordant ventriculo\u2010arterial connections"],"prefix":"10.1155","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1672-1502","authenticated-orcid":false,"given":"Ujjwal Kumar","family":"Chowdhury","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5163-9021","authenticated-orcid":false,"given":"Robert H.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Institute of Biomedical Sciences Newcastle University  Newcastle\u2010upon\u2010Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9885-3789","authenticated-orcid":false,"given":"Diane E.","family":"Spicer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Heart Institute, Johns Hopkins All Children's Hospital University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0372-9951","authenticated-orcid":false,"given":"Niwin","family":"George","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9533-8853","authenticated-orcid":false,"given":"Lakshmi Kumari","family":"Sankhyan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery All India Institute of Medical Sciences  Bilaspur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6786-8304","authenticated-orcid":false,"given":"Niraj Nirmal","family":"Pandey","sequence":"additional","affiliation":[{"name":"Cardiac Radiology All India Institute of Medical Sciences  Bilaspur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4800-5826","authenticated-orcid":false,"given":"Shikha","family":"Goja","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4108-6950","authenticated-orcid":false,"given":"Balaji","family":"Chandhirasekar","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,19]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"112","article-title":"Weitere Beitrage zum Situs transversus und zur Lehre von den transpositionen des grossen Gefasse der Herzens","volume":"35","author":"Geipel P","year":"1903","journal-title":"Arch f Kinderheilkunde"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(63)90312-6"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.29.1.112"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(71)90049-X"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(71)90067-1"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(71)90066-X"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01282-5"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1921.04120050079011"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(61)90209-0"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(66)90222-0"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.46.1.173"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02306745"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.47.4.400"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2006.093369"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.51.5.498"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(72)90511-5"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(77)80195-1"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.36.6.539"},{"key":"e_1_2_10_20_1","first-page":"663","article-title":"Levoardie avec inversion ventriculaire et oreillette unique en position normale","volume":"6","author":"Laboux L","year":"1975","journal-title":"Arch Ma1 Coeur"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(84)80331-9"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)00745-S"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(88)90270-6"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02238420"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.42.5.497"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(77)90173-4"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.54.1.123"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(81)90207-6"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2014.12.054"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.32.3.292"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(73)80166-3"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(96)00546-2"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.62.2.407"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)80064-2"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39071-3"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/0167-5273(91)90280-3"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2004.04.012"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-003-0583-3"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.12.036"},{"issue":"1","key":"e_1_2_10_40_1","first-page":"5","article-title":"Prenatal diagnosis of isolated atrioventricular discordance using fetal echocardiography","volume":"16","author":"Kanagawa N","year":"2014","journal-title":"Images Paediatr Cardiol"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.53.4.443"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.37.3.293"},{"key":"e_1_2_10_43_1","first-page":"29","article-title":"Inversion ventricular. Transposition fisiologica de la circulation y relacion aortopulmonar normal","volume":"59","author":"Martinez Pico A","year":"1967","journal-title":"Hoi Asoc Med PR"},{"key":"e_1_2_10_44_1","first-page":"966","article-title":"Inversion ventricular aislada","volume":"42","author":"Perez\u2010Trevino C","year":"1972","journal-title":"Arch Inst Cardiol Mex"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951115000736"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.69.1.101"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)64504-3"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40792-020-01016-3"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(99)70440-X"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-020-02467-z"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(91)91227-M"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150135119894491"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.5152\/akd.2015.6432"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/1010-7940(87)90030-3"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/0167-5273(85)90117-2"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(95)00538-V"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.37.11.1202"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951115000992"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.4103\/apc.APC_171_16"},{"key":"e_1_2_10_60_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.50.5.911"},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951106000382"},{"key":"e_1_2_10_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(67)90229-3"},{"key":"e_1_2_10_63_1","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvs147"},{"key":"e_1_2_10_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38077-8"},{"key":"e_1_2_10_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.08.063"},{"key":"e_1_2_10_66_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.optechstcvs.2013.11.002"},{"key":"e_1_2_10_67_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2019.02.002"},{"key":"e_1_2_10_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)02517-6"},{"key":"e_1_2_10_69_1","article-title":"Double outlet right ventricle with right\u2010sided aorta from the left\u2010sided morphologically right ventricle in the setting of discordant atrioventricular connections","volume":"1","author":"Talwar S","year":"2017","journal-title":"World J Pediatr Congenit Heart Surg"},{"key":"e_1_2_10_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(94)70019-2"},{"key":"e_1_2_10_71_1","first-page":"II91","article-title":"Late development of severe pulmonary venous obstruction following the Mustard operation","volume":"56","author":"Berman MA","year":"1977","journal-title":"Circulation"},{"key":"e_1_2_10_72_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198406213102504"}],"container-title":["Journal of Cardiac Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocs.16688","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocs.16688","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocs.16688","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T14:04:44Z","timestamp":1762524284000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocs.16688"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,19]]},"references-count":71,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1111\/jocs.16688"],"URL":"https:\/\/doi.org\/10.1111\/jocs.16688","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.22541\/au.164873521.17523427\/v1","asserted-by":"object"}]},"ISSN":["0886-0440"],"issn-type":[{"value":"0886-0440","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6,19]]},"assertion":[{"value":"2022-03-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}