Biosciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Congenital Heart Center, Departments of Surgery and Pediatrics, University of Florida, Gainesville, FL, USA.
Cardiol Young. 2021 Oct;31(10):1712-1714. doi: 10.1017/S1047951121003814. Epub 2021 Sep 21.
The essence of so-called heterotaxy is the potential disharmony between the arrangement of the bronchuses, abdominal organs, and the atrial appendages. Accurate description of the heart, however, can only be provided by specific description of these features, all of which are readily discernible in the clinical setting. We argue that, when accurate description of the atrial and visceral arrangement is provided, along with appropriate description of the intracardiac findings, no further accuracy is gained by suggesting that an individual heart is "heterotaxic".
所谓的内脏异位症的本质在于支气管、腹部器官和心耳的排列可能存在不协调。然而,只有通过对这些特征的具体描述,才能准确描述心脏,而所有这些特征在临床环境中都很容易识别。我们认为,当提供了对心房和内脏排列的准确描述,并对心脏内的发现进行了适当描述时,通过暗示个体心脏“异位”并不能获得更高的准确性。