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[大动脉转位矫正术。21例临床回顾(作者译)]

[Corrected transposition of the great vessels. A clinical review of 21 cases (author's transl)].

作者信息

Cavallini B, Ronconi G, Baiguini E

出版信息

G Ital Cardiol. 1976;6(3):460-9.

PMID:1010197
Abstract

Clinical and instrumental features of 21 cases of congenitally corrected transposition of the great vessels are reviewed. We confirm the rarity of the isolated form of the disease and its frequent association with ventricular septal defect and pulmonary stenosis. Electrocardiographically, the inversion of the first vectors is represented more frequently by the absence of the q wave on the left precordial leads than by the presence of the q wave on the right precordial leads; a very frequent electrocardiographic feature is a positive T wave on the right precordial leads. The angiographic image of the two ventricles in the lateral projection where they appear as crossing each other in their upper part were described. We confirm the poor results of the surgical treatment of the disease and the non-benign prognosis, because of the other associated cardiac anomalies.

摘要

回顾了21例先天性矫正型大动脉转位患者的临床和影像学特征。我们证实了该病孤立形式的罕见性及其与室间隔缺损和肺动脉狭窄的频繁关联。在心电图方面,第一向量的倒置在左胸前导联上更常见于q波缺失,而非右胸前导联上q波的存在;一个非常常见的心电图特征是右胸前导联T波阳性。描述了两个心室在侧位投影中的血管造影图像,它们在其上部相互交叉。我们证实了该病手术治疗效果不佳且预后不良,原因是存在其他相关心脏异常。

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