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三房心——病例报告

Cor triloculare biatriatum--A case report.

作者信息

Agnihotri G, Mahajan D

出版信息

Nepal Med Coll J. 2014 Dec;16(2-4):198-200.

PMID:26930746
Abstract

Cor triloculare biatriatum or double inlet single ventricle is a congenital heart defect in which both atria are connected to a common or dominant ventricle. The present report presents an index case and describes the embryological basis and clinical aspects of this extremely rare anomaly. A three months old infant presented with extreme respiratory distress without cyanosis and repeated chest infections. The patient was diagnosed to be a case of single ventricle with both atria opening in the common ventricular chamber. The common ventricular chamber (single ventricle) was connected to a rudimentary outflow tract. The great arteries were in a position of d-transposition of great arteries. However, there was no pulmonary or aortic stenosis. A clear concept and awareness regarding this condition and its clinical manifestations is bound to facilitate timely intervention with improved success rates.

摘要

三房三腔心或双入口单心室是一种先天性心脏缺陷,其中两个心房均连接到一个共同的或占主导地位的心室。本报告介绍了一个索引病例,并描述了这种极其罕见异常的胚胎学基础和临床情况。一名三个月大的婴儿出现极度呼吸窘迫但无紫绀,并反复发生肺部感染。该患者被诊断为单心室病例,两个心房均开口于共同心室腔。共同心室腔(单心室)连接到一个发育不全的流出道。大动脉处于大动脉d型转位的位置。然而,没有肺动脉或主动脉狭窄。对这种情况及其临床表现有清晰的概念和认识必然有助于及时干预并提高成功率。

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