针对心室动脉一致患者的马斯塔德手术。两例报告及一则警示故事。

Arciprete P, Macartney F J, de Leval M, Stark J

Br Heart J. 1985 Apr;53(4):443-50. doi: 10.1136/hrt.53.4.443.

Three patients with ventriculoarterial concordance and an abnormal atrioventricular connexion were investigated. One patient had total anomalous pulmonary venous connexion to a left vertical vein. In 1972 this was repaired and a ventricular septal defect was closed, but the presence of atrioventricular discordance was missed and the patient died. In the other two patients, Mustard's operation resulted in survival. One patient had situs solitus and atrioventricular discordance with an associated ventricular septal defect, which was closed. The other had left isomerism (quasi solitus) with an ambiguous atrioventricular connexion (quasi discordant). A previously noted ventricular septal defect had spontaneously closed.

对3例心室动脉一致但房室连接异常的患者进行了研究。1例患者存在完全性肺静脉异位连接至左垂直静脉。1972年对此进行了修复并关闭了室间隔缺损，但遗漏了房室不一致的情况，患者死亡。另外2例患者，Mustard手术使他们存活下来。1例患者为正常位心且房室不一致，伴有室间隔缺损，该缺损已关闭。另1例为左位异构（类正常位心），房室连接不明确（类不一致）。之前发现的室间隔缺损已自行闭合。