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与室间隔缺损相关的大动脉解剖矫正不良的手术修复。

Surgical Repair of Anatomically Corrected Malposition of the Great Arteries Associated With Ventricular Septal Defect.

作者信息

Lacour-Gayet François, Belli Emré, Petit Jérôme, Gouton Marielle, Leca Francine

机构信息

Mécénat Cardiac Surgery, Paris, France.

Department of Pediatric Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis-Robinson, France.

出版信息

JACC Case Rep. 2025 Jan 15;30(2):102766. doi: 10.1016/j.jaccas.2024.102766.

DOI:10.1016/j.jaccas.2024.102766
PMID:39886403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11775770/
Abstract

Anatomically corrected malposition (ACM) of the great arteries is an exceedingly rare congenital heart disease. This conotruncal anomaly manifests with an L-malposition of the aorta (situs solitus, D loop, aorta to the left of the pulmonary artery) with normal ventriculoarterial concordance. A 14-month-old boy presented with an ACM associated with a ventricular septal defect that was successfully repaired.

摘要

大动脉解剖矫正型错位（ACM）是一种极其罕见的先天性心脏病。这种圆锥干异常表现为主动脉左旋位（心脏位置正常、D袢、主动脉位于肺动脉左侧），心室动脉连接一致。一名14个月大的男孩因ACM合并室间隔缺损前来就诊，其室间隔缺损已成功修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d52d/11775770/701043517f76/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d52d/11775770/2b4e6c037fff/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d52d/11775770/ed2967da3dbf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d52d/11775770/8f574eb2d407/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d52d/11775770/951252dfd3b8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d52d/11775770/701043517f76/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d52d/11775770/2b4e6c037fff/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d52d/11775770/ed2967da3dbf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d52d/11775770/8f574eb2d407/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d52d/11775770/951252dfd3b8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d52d/11775770/701043517f76/gr4.jpg

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本文引用的文献

1
Concordant Ventriculoarterial Connections With Abnormally Related Arterial Trunks (Anatomically Corrected Malposition) Associated With Right Ventricular Outflow Tract Obstruction by Accessory Valvar Tissue.伴有异常连接的动脉干的一致性心室动脉连接（解剖矫正性错位）与瓣周组织引起的右心室流出道梗阻相关。
World J Pediatr Congenit Heart Surg. 2021 Sep;12(5):661-665. doi: 10.1177/2150135120954864. Epub 2021 May 13.
2
Surgical experience with anatomically corrected malposition of the great arteries without subpulmonary conus.
Chest. 1982 Jul;82(1):115-7. doi: 10.1378/chest.82.1.115.
3
Anatomically corrected transposition of the great arteries.大动脉解剖矫正转位
Br Heart J. 1967 Jan;29(1):112-9. doi: 10.1136/hrt.29.1.112.
4
D-bulboventricular loop with L-transposition in situs inversus.镜像右位心伴左旋位的D型球室袢。
Circulation. 1972 Jul;46(1):173-9. doi: 10.1161/01.cir.46.1.173.