Bozok Sahin, Kestelli Mert, Ilhan Gökhan, Gokalp Orhan, Ozpak Berkan, Akyuz Muhammet, Ozcem Barcin, Kestelli Pınar
Department of Cardiovascular Surgery, Faculty of Medicine, Rize University, Rize Training and Research Hospital, Islampasa, Rize, Turkey.
Cardiol Young. 2013 Jun;23(3):377-80. doi: 10.1017/S1047951112001102. Epub 2012 Sep 14.
Infundibular stenosis may develop secondary to ventricular septal defect, and transannular patch plasty can affect mortality and morbidity rates. Therefore, dextroposition of the aorta has been investigated in order to eliminate discrepancies in the literature. Figures and illustrations from the selected references have been investigated and "actual dextroposition of the aorta" has been evaluated as far as the aorta is visible. A careful examination of these figures revealed the following tips and pearls for accurate diagnosis of dextroposition of the aorta: Aorta and ventricular septal defect should be adjacent for a "true" dextroposition of the aorta; the plane where the aorta exits from the ventricle should penetrate the plane of the ventricular septal defect towards the right ventricle; if the aorta and ventricular septal defect intersect at one edge, the aorta may seem to be dextroposed; new diagnostic modalities are necessary to evaluate the actual dextroposition status of the aorta for the proper planning of treatment.
漏斗部狭窄可能继发于室间隔缺损，而经环补片成形术会影响死亡率和发病率。因此，为消除文献中的差异，对主动脉右旋进行了研究。对所选参考文献中的图表进行了研究，并在主动脉可见的范围内评估了“主动脉实际右旋”情况。对这些图表的仔细检查揭示了准确诊断主动脉右旋的以下要点：主动脉和室间隔缺损应相邻才能构成主动脉的“真正”右旋；主动脉从心室发出的平面应朝着右心室穿过室间隔缺损平面；如果主动脉和室间隔缺损在一条边缘处相交，主动脉可能看似右旋；为了合理规划治疗，需要新的诊断方法来评估主动脉的实际右旋状态。
