{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T20:52:23Z","timestamp":1768078343350,"version":"3.49.0"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"22","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,11,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p xml:lang=\"en\">Various congenital heart diseases are associated with malalignment of a part of the ventricular septum. Most commonly, the outlet septum is malaligned toward the right or left ventricle. Less commonly, the whole or a major part of the ventricular septum is malaligned in relation to the atrial septal plane. Although the pathological conditions associated with ventricular septal malalignment have been well recognized, the descriptions are often confusing and sometimes incorrect. In this pictorial essay, we introduce our systematic approach to the assessment of malalignment type ventricular septal defects with typical case examples. The systematic approach comprises description of the essential features of malalignment, including the following: (1) the malaligned part of the ventricular septum, (2) the reference structure, (3) the mechanism of malalignment, (4) the direction of malalignment, and (5) the severity of malalignment.<\/jats:p>","DOI":"10.1161\/jaha.120.018275","type":"journal-article","created":{"date-parts":[[2020,11,10]],"date-time":"2020-11-10T15:48:00Z","timestamp":1605023280000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Systematic Approach to Malalignment Type Ventricular Septal Defects"],"prefix":"10.1161","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9952-8504","authenticated-orcid":false,"given":"Shi\u2010Joon","family":"Yoo","sequence":"first","affiliation":[{"name":"The Labatt Family Heart Centre The Hospital for Sick Children Toronto Ontario Canada"},{"name":"Department of Diagnostic Imaging The Hospital for Sick Children University of Toronto Ontario Canada"},{"name":"Division of Cardiology Department of Paediatrics The Hospital for Sick Children University of Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5612-6070","authenticated-orcid":false,"given":"Mika","family":"Saito","sequence":"additional","affiliation":[{"name":"The Labatt Family Heart Centre The Hospital for Sick Children Toronto Ontario Canada"},{"name":"Division of Cardiology Department of Paediatrics The Hospital for Sick Children University of Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6572-0090","authenticated-orcid":false,"given":"Nabil","family":"Hussein","sequence":"additional","affiliation":[{"name":"The Labatt Family Heart Centre The Hospital for Sick Children Toronto Ontario Canada"},{"name":"Division of Cardiovascular Surgery Department of Surgery The Hospital for Sick Children University of Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4375-4094","authenticated-orcid":false,"given":"Fraser","family":"Golding","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of California San Diego School of MedicineRady Children\u2019s Hospital, San Diego CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun Woo","family":"Goo","sequence":"additional","affiliation":[{"name":"Department of Radiology Asan Medical Center University of Ulsan College of Medicine Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1285-5033","authenticated-orcid":false,"given":"Whal","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging Seoul National University Hospital Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher Z.","family":"Lam","sequence":"additional","affiliation":[{"name":"The Labatt Family Heart Centre The Hospital for Sick Children Toronto Ontario Canada"},{"name":"Department of Diagnostic Imaging The Hospital for Sick Children University of Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"Seed","sequence":"additional","affiliation":[{"name":"The Labatt Family Heart Centre The Hospital for Sick Children Toronto Ontario Canada"},{"name":"Department of Diagnostic Imaging The Hospital for Sick Children University of Toronto Ontario Canada"},{"name":"Division of Cardiology Department of Paediatrics The Hospital for Sick Children University of Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreea","family":"Dragulescu","sequence":"additional","affiliation":[{"name":"The Labatt Family Heart Centre The Hospital for Sick Children Toronto Ontario Canada"},{"name":"Division of Cardiology Department of Paediatrics The Hospital for Sick Children University of Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.1993.tb00363.x"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13023-014-0144-2"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1017\/S104795111400170X"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.60.3.673"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(79)90178-4"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(82)90216-8"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.49.4.761"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(79)90179-6"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(99)70086-4"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02427032"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/1054-8807(92)90027-L"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.188.1.8511282"},{"key":"e_1_3_1_14_2","first-page":"913","volume-title":"Anderson\u2019s Pediatric Cardiology","author":"Yoo SJ","year":"2020","unstructured":"Yoo SJ, Anderson RH. Abnormal positions and relationships of the heart. In: Wernovsky G, ed. Anderson\u2019s Pediatric Cardiology. 4th ed. Philadelphia, PA: Elsevier; 2020:913\u2013926.","edition":"4"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.39.8.856"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2069.64367"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951117000452"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0167-5273(85)90030-0"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01247-3"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.117.006891"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2009.01.004"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951113001686"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951115000104"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.74.2.180"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.11.010"},{"key":"e_1_3_1_26_2","first-page":"58","article-title":"Taussig\u2010Bing anomaly: from original description to the current era","volume":"36","author":"Konstantinov IE","year":"2009","unstructured":"Konstantinov IE. Taussig\u2010Bing anomaly: from original description to the current era. Tex Heart Inst J. 2009;36:58\u2013585.","journal-title":"Tex Heart Inst J"},{"key":"e_1_3_1_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.03.049"},{"key":"e_1_3_1_28_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.72.3.251"},{"key":"e_1_3_1_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(95)70207-5"},{"key":"e_1_3_1_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(00)01106-1"},{"key":"e_1_3_1_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2005.11.038"},{"key":"e_1_3_1_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.11.087"},{"key":"e_1_3_1_33_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.58.3.558"},{"key":"e_1_3_1_34_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2010.00456.x"},{"key":"e_1_3_1_35_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.40.11.1267"},{"key":"e_1_3_1_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01441-3"},{"key":"e_1_3_1_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38185-1"},{"key":"e_1_3_1_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)36385-8"},{"key":"e_1_3_1_39_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.61.6.1133"},{"key":"e_1_3_1_40_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951100008830"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.120.018275","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T11:50:16Z","timestamp":1715601016000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.120.018275"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,17]]},"references-count":39,"journal-issue":{"issue":"22","published-print":{"date-parts":[[2020,11,17]]}},"alternative-id":["10.1161\/JAHA.120.018275"],"URL":"https:\/\/doi.org\/10.1161\/jaha.120.018275","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,17]]},"assertion":[{"value":"2020-11-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e018275"}}