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二维超声心动图诊断左心室双出口合并主动脉下室间隔缺损、肺动脉狭窄及左心室发育不良。

Two-dimensional echocardiographic diagnosis of double outlet left ventricle with subaortic ventricular septal defect, pulmonary stenosis, and a hypoplastic left ventricle.

作者信息

Alehan Dursun, Hallioglu Olgu

机构信息

Division of Pediatric Cardiology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

出版信息

J Am Soc Echocardiogr. 2003 Jan;16(1):91-3. doi: 10.1067/mje.2003.26.

DOI:10.1067/mje.2003.26
PMID:12514643
Abstract

Double outlet left ventricle (DOLV) is a rare congenital cardiac malformation in which both the pulmonary artery and the aorta arise exclusively or predominantly from the morphologic left ventricle. We describe a case of DOLV with situs solitus, d-loop ventricles, d-malposition of the great arteries (S, D, D), severe pulmonary stenosis, and a subaortic ventricular septal defect in which the left ventricle was also severely hypoplastic. The anatomic features were shown with 2-dimensional echocardiography, and the diagnosis was later confirmed at cardiac catheterization. Many morphologic variations of this malformation have been described but to the our knowledge DOLV with a hypoplastic left ventricle has not been reported before.

摘要

双出口左心室(DOLV)是一种罕见的先天性心脏畸形,其中肺动脉和主动脉完全或主要起源于形态学上的左心室。我们描述了一例具有正常心脏位置、d型心室、大动脉d型转位(S,D,D)、严重肺动脉狭窄和主动脉下室间隔缺损的DOLV病例,该病例中的左心室也严重发育不全。二维超声心动图显示了解剖特征,随后通过心导管检查确诊。已经描述了这种畸形的许多形态学变异,但据我们所知,以前尚未报道过左心室发育不全的DOLV。

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引用本文的文献

1
Double-outlet left ventricle with a superiorly positioned and hypoplastic left ventricle.
Pediatr Cardiol. 2008 Sep;29(5):995-7. doi: 10.1007/s00246-007-9165-0. Epub 2007 Dec 11.