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一名80岁女性的先天性矫正型大动脉转位

Congenitally corrected transposition of the great arteries in an 80 year old woman.

作者信息

Roffi M, de Marchi S F, Seiler C

机构信息

Department of Internal Medicine, University Hospital Inselspital, Bern, Switzerland.

出版信息

Heart. 1998 Jun;79(6):622-3. doi: 10.1136/hrt.79.6.622.

Abstract

Congenitally corrected transposition of the great arteries (CCTGA) is a rare form of congenital heart disease characterised by atrioventricular as well as ventriculoarterial discordance. It is usually associated with a variety of severe intracardiac defects. Few patients with this abnormality survive past 50 years. An 80 year old woman was admitted to the hospital because of mild congestive heart failure. Cardiac examination revealed a 4/6 holosystolic and a 2/6 decrescendo diastolic murmur at the left sternal border. Radiography, echocardiography, and computed tomography confirmed newly diagnosed CCTGA without associated intracardiac defects.

摘要

先天性矫正型大动脉转位(CCTGA)是一种罕见的先天性心脏病,其特征为房室以及心室动脉不一致。它通常与多种严重的心内缺陷相关。很少有患有这种异常的患者能活过50岁。一名80岁女性因轻度充血性心力衰竭入院。心脏检查发现左胸骨缘有4/6级全收缩期和2/6级递减型舒张期杂音。放射学、超声心动图和计算机断层扫描证实新诊断为CCTGA且无相关心内缺陷。

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