Vernant P, Gaudeau S, Casasoprana A, Bayard J P, Ducam R, Bouroullec G
Arch Mal Coeur Vaiss. 1975 Nov;68(11):1203-9.
The authors report two cases of atresia of the pulmonary outflow with an intact interventricular septum; they are remarkable for their slow progression. In one patient the pulmonary perfusion was furnished by systemic arteries, while in the other it was by way of a patent ductus arteriosus. This second patient died following an attempted bi-cavo-pulmonary anastomosis. Such slow progression, which is the exception, is only possible if there is a substantial vicarious pulmonary circulation.
作者报告了两例室间隔完整的肺动脉流出道闭锁病例;其进展缓慢,颇为引人注目。其中一例患者的肺灌注由体循环动脉提供,而另一例则通过动脉导管未闭实现。第二例患者在尝试进行双腔静脉 - 肺动脉吻合术后死亡。这种缓慢进展属于例外情况,只有在存在大量替代性肺循环时才有可能发生。