The Cardiac Center at The Children's Hospital of Philadelphia, Philadelphia, PA.
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2024;27:78-85. doi: 10.1053/j.pcsu.2024.01.005. Epub 2024 Jan 23.
Double inlet left ventricle (DILV) is a form of single ventricle heart disease where both atrioventricular valves enter a single left ventricle. Surgical intervention may be needed in the neonatal period secondary to systemic outflow tract obstruction or less commonly pulmonary obstruction. Two-dimensional echocardiography can adequately assess newborn anatomy and define the need for surgery. Beyond the newborn period, there is a renewed interest in septation of DILV using intracardiac baffles in a staged approach. Cross sectional imaging can aid in surgical planning. This article will review common anatomic features of DILV and imaging considerations for both single ventricle palliation and DILV septation.
双入口左心室(DILV)是一种单心室心脏病,其中两个房室瓣进入单个左心室。由于体循环流出道梗阻或较少见的肺梗阻,新生儿期可能需要手术干预。二维超声心动图可以充分评估新生儿的解剖结构,并确定是否需要手术。在新生儿期之后,人们对使用心内分流器在分阶段方法中分隔 DILV 重新产生了兴趣。横截面成像可以辅助手术计划。本文将回顾 DILV 的常见解剖特征以及单心室姑息治疗和 DILV 分隔的影像学考虑因素。