摘要
有关完全性大动脉转位的定义,经复习文献和统一于Van Praagh的意见下,指两个大动脉外在关系有所改变,同时它们必须互相越过室间隔,并与不一致的心室腔相连接。本文研究基于对10例的形态观察,其房室连接均一致和心室动脉连接均不一致。7例属心房正位,2例属心房反位和1例为左侧型心耳并列。主要伴随畸形有:4例膜部间隔完全未发育,1例部分未发育,7例合并室间隔缺损,3例有房室瓣骑跨和1例肺动脉根部闭锁,5例有较重的冠状动脉畸形,其中4例为单个冠状动脉。
After review of literature, wo define 'transposition' as an abnormal external relation of the great arteries and follow the concept of van Praagh et al, i.e. 'transposition' means that both of the two great arteries should pass across the septum and connect to inappropriate ventricle. This paper was based on a study of 10 hearts of complete TGA with atrio-ventricular concordant and ventriculo-arterial discordant, with situs solitus in 7 cases, situs inversus in 2 cases and left sided juxtaposition of atrial appendages in 1 case. The major associated deformities were, absence of membranous septum, complete in 4 cases and partial in 1; straddling of atrio-ventricular valve in 3 and pulmonary atresia in 1; major anomalies og coronary arteries in 5 cases including 4 cases of single coronary artery.
出处
《中国循环杂志》
CSCD
1992年第6期570-572,T021,共4页
Chinese Circulation Journal
关键词
大动脉转位
膜部间隔缺如
Complete transposition of great arteries
Left sided juxtaposition of atrial appendages
Absence of membranous saptum
Single coronary artery
