Heuser L, Niehues B
Rofo. 1982 Sep;137(3):275-80. doi: 10.1055/s-2008-1056202.
Isolated levocardia combined with corrected transposition of the great arteries and complete situs inversus is rare. Due to discordant interrelationships between atria and ventricles and between ventricles and great arteries, both anomalies result in a normal circulation. In the presented case no associated cardiac malformations were present and the 55-year-old woman remained symptom-free for a long time until she developed an acquired valve disease. A systematic approach to chamber localisation in complex morphologic lesions of the heart is reviewed, and the value of CT, which can be applied successfully in older children and adults is demonstrated.
孤立性左位心合并矫正型大动脉转位及完全性内脏反位较为罕见。由于心房与心室之间以及心室与大动脉之间的关系不一致,这两种异常情况导致了正常的血液循环。在本病例中,未发现相关的心脏畸形,这位55岁的女性在很长一段时间内无症状,直到她患上了后天性瓣膜病。本文回顾了在心脏复杂形态学病变中对心腔定位的系统方法,并展示了CT在大龄儿童和成人中成功应用的价值。