Department of Radiology, King's College Hospital, London, UK.
University Health Network Toronto and University of Toronto, Ontario, Canada.
Clin Radiol. 2022 Apr;77(4):e261-e268. doi: 10.1016/j.crad.2021.12.006. Epub 2021 Dec 31.
Transposition of the great arteries is one of the most common cyanotic congenital heart diseases. It is characterised by an abnormal connection of the ventricles and great arteries, so that the aorta arises from the morphological right ventricle and the pulmonary artery arises from the morphological left ventricle. Historically, as with many congenital heart diseases, patients with transposition of the great arteries had poor life expectancy. Advances in surgical and medical management have resulted in patients surviving into adulthood. As these patients are living longer, they will be encountered more frequently in practice. The purpose of this article is to familiarise the general radiologist with the expected postoperative anatomy, and the appearance on cross-sectional imaging as well as the long-term complications in this group of patients.
大动脉转位是最常见的发绀型先天性心脏病之一。其特征为心室和大动脉的异常连接，使得主动脉起自形态学右心室，肺动脉起自形态学左心室。历史上，与许多先天性心脏病一样，大动脉转位患者的预期寿命较差。手术和医疗管理的进步使患者能够存活到成年期。随着这些患者寿命的延长，他们在实践中会越来越频繁地遇到。本文的目的是使普通放射科医生熟悉该组患者的预期术后解剖结构、横断面成像表现以及长期并发症。
