Knauth Alison L, Marshall Audrey C, Geva Tal, Jonas Richard A, Marx Gerald R
Department of Cardiology, The Children's Hospital, Boston, MA 02115, USA.
Am J Cardiol. 2004 Feb 15;93(4):503-5. doi: 10.1016/j.amjcard.2003.10.057.
Hemodynamically significant systemic-to-pulmonary artery collaterals may represent an underappreciated cause of cardiorespiratory compromise in tetralogy of Fallot with absent pulmonary valve (TOF/APV). We retrospectively reviewed the angiographic, magnetic resonance imaging, operative, and autopsy reports of the 50 patients with TOF/APV managed at our institution in the past 10 years and demonstrated that at least 7 of 50 patients (14%) had significant aortopulmonary collaterals.
具有血流动力学意义的体循环至肺动脉侧支血管可能是法洛四联症合并肺动脉瓣缺如(TOF/APV)患者心肺功能不全的一个未被充分认识的原因。我们回顾性分析了过去10年在我们机构接受治疗的50例TOF/APV患者的血管造影、磁共振成像、手术和尸检报告,结果显示50例患者中至少有7例(14%)存在显著的主肺动脉侧支血管。