Girod D A, Lima R C, Anderson R H, Ho S Y, Rigby M L, Quaegebeur J M
J Thorac Cardiovasc Surg. 1984 Oct;88(4):590-600.
We analyzed, using a sequential segmental approach, 32 cases of double-inlet ventricle to assess the feasibility of surgical "correction" by either ventricular septation or a modified Fontan procedure. Twenty-two hearts had two atrioventricular valves, connected to a left ventricle in 19, a right ventricle in two, and a solitary indeterminate ventricle in one. Septation was possible in only 13. In contrast, the Fontan procedure seemed feasible in 20. The remaining 10 specimens had double inlet via a common valve to the left ventricle in two, the right ventricle in six, and an indeterminate ventricle in two. Seven of these had right atrial isomerism. Ventricular septation was not considered a possibility in these hearts. The Fontan procedure combined with atrial septation was a possibility in seven cases. From the morphologic stance, although the modified Fontan procedure seemed suitable in most cases, a significant number of hearts with two atrioventricular valves were suitable for ventricular septation.
我们采用序贯节段性方法分析了32例双入口心室病例，以评估通过心室分隔或改良Fontan手术进行手术“矫正”的可行性。22例心脏有两个房室瓣，其中19例连接到左心室，2例连接到右心室，1例连接到单一的不确定心室。仅13例可行心室分隔。相比之下，Fontan手术在20例中似乎可行。其余10个标本通过共同瓣膜双入口至左心室2例，右心室6例，不确定心室2例。其中7例有右心房异构。这些心脏不考虑进行心室分隔。Fontan手术联合房间隔分隔在7例中是可行的。从形态学角度看，尽管改良Fontan手术在大多数情况下似乎适用，但相当数量有两个房室瓣的心脏适合进行心室分隔。
