Olbermann M, Just H, Lang K F, Streicher K A
Z Kardiol. 1976 Mar;65(4):373-84.
Two adult cases of corrected transposition of the great arteries are presented. One of the two males had associated ventricular septal defect, the other one presented as an isolated anomaly. The characteristic clinical features are: loud second heart sound with audible pulmonic component of the left sternal border in the absence of pulmonary hypertension. Abnormal precordial impulse upon palpation. Chest X-ray shows absence of pulmonic segment and of the aortic knob with the contour of the ascending aorta to the left of the mediastinum. Ecg anomalies may be multiple; typically anomalous septal Q-waves are consistently absent. Corrected transposition is well tolerated even into adulthood. Prognosis is dominated by assiciated anomalies.
本文报告了两例成年矫正型大动脉转位病例。两名男性患者中，一名合并室间隔缺损，另一名表现为孤立性异常。其特征性临床特点为：在无肺动脉高压的情况下，第二心音亢进，在胸骨左缘可闻及肺动脉成分。触诊时心前区冲动异常。胸部X线显示肺动脉段和主动脉结消失，升主动脉轮廓位于纵隔左侧。心电图异常可能多样；典型的异常间隔Q波始终不存在。矫正型大动脉转位即使到成年也能较好耐受。预后主要取决于合并的异常情况。
