Villani M, Lipscombe S, Ross D N
J Cardiovasc Surg (Torino). 1979 Jul-Aug;20(4):413-8.
Two patients with D.O.L.V., V.S.D. and P.S. have been successfully corrected surgically. They represent the seventh and the eighth successful repairs of D.O.L.V. reported so far in the literature. Surgical correction was accomplished by an "extraventricular" type of repair, closing the V.S.D., interrupting the connection between left ventricle and pulmonary artery and creating a conduit between right ventricle and pulmonary artery. The conduit used was a fresh aortic homograft. An "intraventricular" type of repair of this rare congenital malformation has been also reported, but the authors believe that it is not applicable to all cases of D.O.L.V. and it is possibly more likely to incur complications, while the "extraventricular" one doesn't seem to have any contraindication. Preoperative diagnosis can be only achieved with careful angiographic study, including left ventriculography.
两名患有双出口左心室、室间隔缺损和肺动脉狭窄的患者已通过手术成功矫正。他们是迄今为止文献中报道的第七例和第八例双出口左心室成功修复病例。手术矫正通过“心室外”类型的修复完成，即闭合室间隔缺损，中断左心室与肺动脉之间的连接，并在右心室与肺动脉之间建立一个管道。所使用的管道是新鲜主动脉同种异体移植物。也有报道这种罕见先天性畸形的“心室内”类型修复，但作者认为它并不适用于所有双出口左心室病例，且可能更容易引发并发症，而“心室外”修复似乎没有任何禁忌证。术前诊断只能通过仔细的血管造影研究来实现，包括左心室造影。
