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孤立性房室不一致。两例合并孤立性心室反位的手术病例报告。

Isolated atrioventricular discordance. Report of two surgical cases with isolated ventricular inversion.

作者信息

Ostermeyer J, Bircks W, Krian A, Sievers G, Hilgenberg F

出版信息

J Thorac Cardiovasc Surg. 1983 Dec;86(6):926-9.

PMID:6645595
Abstract

Isolated ventricular inversion is a term used for a congenital heart malformation with the segmental arrangement atrioventricular (AV) discordance and ventriculoarterial concordance. It describes a condition which from a physiological point of view resembles complete transposition of the great arteries. We have recently seen two patients with this anomaly. Both underwent intracardiac repair by means of a Mustard operation at 10 years and 10 months of age, respectively. Associated lesions in the first patient were an AV septal defect with two AV orifices (partial AV canal, ostium primum defect), partial anomalous pulmonary venous return, and anomalies in the systemic venous drainage. A perimembranous ventricular septal defect complicated the condition in the second patient.

摘要

孤立性心室反位是用于描述一种先天性心脏畸形的术语,其房室(AV)节段排列不一致而心室动脉连接一致。它描述了一种从生理学角度类似于大动脉完全转位的病症。我们最近诊治了两名患有这种异常的患者。两名患者分别在10岁和10个月大时接受了Mustard手术进行心内修复。第一名患者的相关病变为伴有两个房室口的房室间隔缺损(部分房室通道,原发孔缺损)、部分肺静脉异位回流以及体静脉引流异常。第二名患者的病情因膜周部室间隔缺损而复杂化。

相似文献

1
Isolated atrioventricular discordance. Report of two surgical cases with isolated ventricular inversion.孤立性房室不一致。两例合并孤立性心室反位的手术病例报告。
J Thorac Cardiovasc Surg. 1983 Dec;86(6):926-9.
2
Echocardiographic and anatomic findings in atrioventricular discordance with ventriculoarterial concordance.房室不一致伴心室动脉一致时的超声心动图及解剖学表现。
Am J Cardiol. 1988 Dec 1;62(17):1256-62. doi: 10.1016/0002-9149(88)90270-6.
3
Early palliation of univentricular hearts with subaortic stenosis and ventriculoarterial discordance. The arterial switch option.伴有主动脉下狭窄和心室动脉不一致的单心室心脏的早期姑息治疗。动脉调转术方案。
J Thorac Cardiovasc Surg. 1992 Nov;104(5):1238-45.
4
[Surgical correction of atrioventricular discordance--results and follow-up].[房室不一致的外科矫正——结果与随访]
Nihon Kyobu Geka Gakkai Zasshi. 1992 Aug;40(8):1167-76.
5
Repair of common atrioventricular canal associated with transposition of the great arteries and left ventricular outflow obstruction.
J Thorac Cardiovasc Surg. 1982 Dec;84(6):872-5.
6
Intraatrial baffle repair of isolated ventricular inversion with left atrial isomerism.采用左心房异构的孤立性心室反位的心房内挡板修复术。
Ann Thorac Surg. 1996 Nov;62(5):1529-32. doi: 10.1016/0003-4975(96)00546-2.
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[Isolated ventricular inversion associated with complete atrioventricular septal defect with total anomalous pulmonary venous drainage].
Rev Esp Cardiol. 1989 Dec;42(10):684-8.
8
Biventricular repair of atrioventricular septal defect with common atrioventricular valve and double-outlet right ventricle.共同房室瓣和右心室双出口型房室间隔缺损的双心室修复。
Ann Thorac Surg. 2010 Feb;89(2):537-42; discussion 542-3. doi: 10.1016/j.athoracsur.2009.10.049.
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[Atrioventricular discordance without ventriculo-arterial discordance. Apropos of 3 cases].[房室不一致但心室-动脉无不一致。附3例报告]
Arch Mal Coeur Vaiss. 1983 May;76(5):504-12.
10
[Atrioventricular and ventriculoarterial discordance (corrected transposition of the great vessels). Diagnosis with bidimensional echocardiography].[房室和心室动脉不一致(矫正型大动脉转位)。二维超声心动图诊断]
Rev Esp Cardiol. 1992 Dec;45(10):657-60.

引用本文的文献

1
Case Report: Atrial baffles of pulmonary and systemic veins for the anatomic and physiologic repair of left atrial isomerism heterotaxy-pre- and post-operative three-dimensional reconstructions of two mirror-image pediatric hearts.病例报告:用于左心房异构(内脏反位)解剖和生理修复的肺静脉和体静脉心房内挡板——两颗镜像小儿心脏的术前和术后三维重建
Front Cardiovasc Med. 2025 Mar 20;12:1529485. doi: 10.3389/fcvm.2025.1529485. eCollection 2025.
2
Prenatal diagnosis of isolated atrioventricular discordance using fetal echocardiography.使用胎儿超声心动图对孤立性房室不一致进行产前诊断。
Images Paediatr Cardiol. 2014 Jan-Mar;16(1):5-10.
3
Successful management of isolated ventricular inversion in an adult.
成人孤立性心室反位的成功管理。
Pediatr Cardiol. 2004 Sep-Oct;25(5):554-7. doi: 10.1007/s00246-003-0583-3. Epub 2004 May 20.
4
Mustard's operation for patients with ventriculoarterial concordance. Report of two cases and a cautionary tale.针对心室动脉一致患者的马斯塔德手术。两例报告及一则警示故事。
Br Heart J. 1985 Apr;53(4):443-50. doi: 10.1136/hrt.53.4.443.