Department of Cardiovascular Surgery, Children's National Heart Institute, Children's National Medical Center, Washington, DC 20010, USA.
Eur J Cardiothorac Surg. 2012 Aug;42(2):e28-30. doi: 10.1093/ejcts/ezs279. Epub 2012 May 31.
Situs solitus of viscera and atria, D-looped ventricle with atrioventricular concordance, and inverted normally related great arteries with ventriculoarterial concordance characterize the segmental anatomy of an extremely rare {S,D,I} variant of Tetralogy of Fallot. The main pulmonary artery is rightward of the aorta and the right coronary artery crosses over the right ventricular outflow tract from left to right to reach the right atrioventricular groove. Our patient had undergone a neonatal repair due to persistent cyanosis with the implantation of a pericardial infundibular patch after the diagnosis of Tetralogy of Fallot {S,D,I}. He presented with an annular right ventricular outflow tract obstruction at 19 months of age. We describe the surgical approach employing a transannular patch implantation for the relief of the annular right ventricular outflow tract obstruction.
内脏和心房的正常位置，D 型环心室伴房室一致，以及大动脉的正常反向关系伴心室动脉一致，这些特征构成了法洛四联症中一种非常罕见的{S,D,I}变体的节段解剖结构。主肺动脉位于升主动脉的右侧，右冠状动脉从左到右穿过右心室流出道到达右房室沟。我们的患者因持续性发绀在诊断为法洛四联症{S,D,I}后接受了新生儿修复，并植入了心包漏斗部补片。他在 19 个月时出现环形右心室流出道梗阻。我们描述了一种采用跨环补片植入术来缓解环形右心室流出道梗阻的手术方法。
