Daliento L, Della Valentina P, Zevallos J C, Cuman G, Isabella G, Da Ruos F, Mazzucco A, Stellin G, Chioin R
Cattedra di Cardiologia, Università degli Studi di Padova.
G Ital Cardiol. 1987 Jul;17(7):583-8.
Cineangiographic study in 41 patients with double outlet right ventricle was performed. Segmental approach was utilized to describe the anatomical features. Atrial situs was inversus in 5 cases, ambiguous in 3 and solitus in the other cases. Atrio-ventricular (a-v) connections were biventricular in 34 and univentricular in 7. A common a-v valve was found in 2 cases. Mitral valve was imperforated in 1 and straddling in 1. The most frequent relationship between aorta and pulmonary artery was side by side (41.1%). Ventricular septal defect was subaortic in 14, subpulmonary in 9, double committed in 5 and non committed in 6. In 27 cases a double infundibulum was present; in 7 patients we described a subpulmonary conus only. Some nosological aspects of this congenital heart disease are discussed particularly in conformity with the surgical needs.
对41例右心室双出口患者进行了心血管造影研究。采用节段性方法描述解剖特征。心房位置5例为反位，3例不明确，其余为正常位。房室连接双心室的有34例，单心室的有7例。发现2例有共同房室瓣。1例二尖瓣闭锁，1例二尖瓣骑跨。主动脉与肺动脉最常见的关系是并列（41.1%）。室间隔缺损位于主动脉下的有14例，位于肺动脉下的有9例，双孔型的有5例，非孔型的有6例。27例存在双漏斗部；7例患者仅描述有肺动脉下圆锥。特别结合手术需求讨论了这种先天性心脏病的一些分类学方面。
