Overman David M, Sutton Thomas M, Moga Francis X
Division of Pediatric Cardiology, The Children's Heart Clinic, Children's Hospital and Clinics, Minneapolis, Minnesota 55404, USA.
J Card Surg. 2005 Sep-Oct;20(5):469-71. doi: 10.1111/j.1540-8191.2005.200458.x.
Transposition of the great arteries, with or without ventricular septal defect, and sinus of valsalva aneurysm (SVA) are lesions with well-established surgical therapies associated with excellent early and late outcomes. They have never, however, been reported as coexisting lesions. Their occurrence together has significant implications regarding sites of origin and rupture or obstruction in light of the altered relationships of the arterial roots and the ventricular masses. We report the diagnosis and successful treatment of a neonate with d-transposition of the great arteries with intact ventricular septum, and unruptured SVA. The implications of the altered spatial relationships in the patient with transposition and SVA are discussed. Our understanding of the morphogenesis of SVA may be impacted by this novel association as well.
大动脉转位，伴或不伴室间隔缺损，以及瓦氏窦瘤（SVA），是具有成熟手术治疗方法且早期和晚期预后良好的病变。然而，它们从未被报道为共存病变。鉴于动脉根部和心室团块关系的改变，它们同时出现对于起源部位以及破裂或梗阻具有重要意义。我们报告了一例患有室间隔完整的d型大动脉转位和未破裂SVA的新生儿的诊断及成功治疗。讨论了转位和SVA患者空间关系改变的影响。这种新的关联可能也会影响我们对SVA形态发生的理解。
