Formanek A, Marin-Garcia J, Moller J H
Rofo. 1975 Sep;123(3):210-8. doi: 10.1055/s-0029-1230183.
The authors recommend that the "single ventricle" be differentiated into two types. There are single ventricles of the left ventricular type, and others of the primitive type; in other words, the chamber is typically left ventricular or cannot be differentiated into left or right. In the latter case we are dealing with a primitive chamber. In addition there may be variations of the large vessels. Of 40 patients with a single ventricle of the left ventricular type, ten showed normal topography of the major vessels, 13 had a d-transposition and 17 an 1-transposition. In the d-transposition, the outflow track of the ventricle was anterior and to the right and the aorta arises in front of the pulmonary artery; in the 1-transposition and sub-aortic portion is anterior and to the left, the aorta is ventral and to the left of the pulmonary artery. In the discussion it is pointed out that the "single ventricle" must be included in the differential diagnosis of cyanotic, congenital heart disease. Angiographic confirmation of the "single ventricle" depends on the demonstration of an absent ventricular septum and of two separate atrio-ventricular valves.
作者建议将“单心室”分为两种类型。有左心室型单心室，以及其他原始型单心室；换言之，该腔室通常为左心室或无法区分为左心室或右心室。在后一种情况下，我们面对的是一个原始腔室。此外，大血管可能存在变异。在40例左心室型单心室患者中，10例主要血管的形态正常，13例为d型转位，17例为l型转位。在d型转位中，心室的流出道位于前方且向右，主动脉起源于肺动脉前方；在l型转位中，主动脉下部分位于前方且向左，主动脉位于肺动脉的腹侧且向左。在讨论中指出，“单心室”必须纳入青紫型先天性心脏病的鉴别诊断中。“单心室”的血管造影确诊取决于室间隔缺如和两个独立房室瓣的显示。
