Hurtado del Río D, Holden B A M
Arch Inst Cardiol Mex. 1976 Sep-Oct;46(5):554-61.
Ten years experience in newborn congenital cardiac malformations with severe hemodynamic changes is reported. The anatomic diagnosis was made at necropsy (85%) or by cardiac catheterization and angiocardiography (15%). One hundred and twenty-six cases were found in which aortic valve atresia or stenosis, tricuspid atresia, cardiac anomalies associated to visceral heterotaxy, tetralogy of Fallot, aortic coartation, endocardial cushion defect, ventricular septal defect, total anomalous pulmonary venous return and pulmonary atresia with intact ventricular septum were the most common malformations. They presented with either cardiac insufficiency or hypoxia and acidosis. The principal anatomic features of these cases were discussed and the associated malformations in other systems was noted.
本文报道了10年以来新生儿先天性心脏畸形伴严重血流动力学改变的病例。解剖诊断通过尸检(85%)或心导管检查及心血管造影术(15%)做出。共发现126例病例,其中主动脉瓣闭锁或狭窄、三尖瓣闭锁、与内脏异位相关的心脏畸形、法洛四联症、主动脉缩窄、心内膜垫缺损、室间隔缺损、完全性肺静脉异位引流以及室间隔完整的肺动脉闭锁是最常见的畸形。这些病例均表现为心脏功能不全或缺氧及酸中毒。文中讨论了这些病例的主要解剖特征,并指出了其他系统中相关的畸形。