Yadava Om Prakash, Barron David
National Heart Institute, New Delhi, India.
Birmingham Childrens' Hospital, Birmingham, UK.
Indian J Thorac Cardiovasc Surg. 2019 Apr;35(2):259-260. doi: 10.1007/s12055-018-0775-3. Epub 2018 Dec 14.
Congenitally corrected transposition of great arteries (ccTGA) may essentially present as two clinical phenotypes viz. with left ventricular outflow tract obstruction (LVOTO), presenting as Tetralogy of Fallot (TOF) physiology, or sans LVOTO, presenting with systemic ventricular dysfunction. The natural history and treatment, especially the role of pulmonary artery (PA) band, have been discussed.
先天性矫正型大动脉转位(ccTGA)本质上可能表现为两种临床表型,即伴有左心室流出道梗阻(LVOTO),表现为法洛四联症(TOF)生理学特征,或不伴有LVOTO,表现为体循环心室功能障碍。本文讨论了其自然病史和治疗方法,尤其是肺动脉(PA)环扎术的作用。