Fernández F, Laurichesse J, Scebat L, Lenègre J
Br Heart J. 1970 Mar;32(2):165-71. doi: 10.1136/hrt.32.2.165.
Twenty cases of corrected transposition of the great vessels of the bulbo-ventricular inversion type, either lone or combined with other intracardiac anomalies, were analysed. Rhythm and/or atrio-ventricular conduction disturbances were common to all groups of cases. QRS pattern changes were found to be related both to ventricular inversion and to ventricular hypertrophy. Isolated corrected transposition and corrected transposition with systemic ventriculo-atrial regurgitation give rise to tracings suggestive of systemic ventricular hypertrophy.Corrected transposition of the great vessels with pulmonary stenosis or pulmonary artery hypertension is usually accompanied by the electrocardiographic signs of a venous-ventricular hypertrophy, with a characteristic inversion of the normal praecordial pattern. The conventional criteria of ventricular hypertrophy may be applied in corrected transposition of the great vessels but are less reliable than in cases without ventricular inversion. The so-called electrocardiographic pattern of ;ventricular inversion' in this anomaly is related not only to the inverted position of the ventricles but to a greater extent to the predominant, anatomically left, venous-ventricular hypertrophy which re-establishes the normal weight ratio between the anatomically right and anatomically left ventricles.
对20例球室反转型大动脉转位矫正病例进行了分析，这些病例可为单纯性或合并其他心内异常。所有病例组均常见节律和/或房室传导障碍。发现QRS波型改变与心室反位和心室肥厚均有关。孤立性大动脉转位矫正和合并体循环心室心房反流的大动脉转位矫正可产生提示体循环心室肥厚的心电图描记图。合并肺动脉狭窄或肺动脉高压的大动脉转位矫正通常伴有静脉心室肥厚的心电图表现，正常胸前导联图形有特征性倒置。心室肥厚的传统标准可应用于大动脉转位矫正，但比无心室反位的病例可靠性更低。这种异常中所谓的“心室反位”心电图图形不仅与心室的反位有关，在更大程度上与占优势的、解剖学上的左静脉心室肥厚有关，这种肥厚重新建立了解剖学上的右心室和左心室之间的正常重量比。
