The Congenital Heart Collaborative, Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
J Clin Ultrasound. 2020 Oct;48(8):510-512. doi: 10.1002/jcu.22897. Epub 2020 Aug 4.
Congenitally corrected transposition (ccTGA), also known as L-transposition of the great arteries (L-TGA), is a rare cardiac malformation accounting for approximately 0.05% of congenital heart disease, characterized by ventricular inversion, discordant ventriculo-arterial connections with a normal visceroatrial relationship. It was first described by Baron Rokitansky in 1875, and prenatal sonographic diagnosis can be difficult. Symptomatology and clinical presentation of this malformation are related to the associated intracardiac defects. We report a rare case of severe, complex cardiac disease: prenatally diagnosed ccTGA with atrial restriction, mitral atresia, Ebsteinoid tricuspid valve, and severe pulmonary valve stenosis, who subsequently developed left pulmonary vein stenosis.
先天性矫正性转位(ccTGA),也称为大动脉转位(L-TGA),是一种罕见的心脏畸形,约占先天性心脏病的 0.05%,其特征为心室反转、室-动脉连接不一致,但心-房连接正常。它于 1875 年由 Baron Rokitansky 首次描述,产前超声诊断可能较为困难。这种畸形的症状和临床表现与相关的心脏内缺陷有关。我们报告了一例罕见的严重、复杂心脏疾病:产前诊断为 ccTGA 合并房性限制、二尖瓣闭锁、Ebstein 三尖瓣畸形和严重肺动脉瓣狭窄,随后出现左肺静脉狭窄。