Cabrera A, Moya E, López O, Pastor E, Chouza M, Alvarez Oñate A
An Esp Pediatr. 1984 Mar 15;20(4):375-85.
Authors present angiocardiographic study of 19 patients with univentricular heart. It was realized during the neonatal period in 13 cases and between the six first six months in the rest. To determine the existence of an only ventricle contrast was injected in the right and left atrium and the ventricle through the right and left atrioventricular valve. The bulbo-ventricular foramen was orientated in all cases from back-front wards. Those of left ventricle type had a right anterior, anterior-superior or left-anterior rudimentary chamber. Depending on its' morphology they were classified in three types: left, right or indeterminate. In these series fourteen patients had left ventricle morphology. All cases had a rudimentary chamber: 10 with transposition great vessel and four with normal related great vessels. Six presented normal situs (five with levocardia , and eight ambiguous situs (six with asplenia, four with dextrocardia). In nine atrio ventricular valves were anomalous. In the indeterminate type, two had a normal situs, two with polysplenia and two asplenia. Cardiac apex was oriented to the right in two (one asplenia). The two patients with polysplenia and one with normal situs and single atrium had a common ventricular valve. Four had an anterior aorta and three pulmonary obstruction.
作者介绍了19例单心室心脏患者的心血管造影研究。13例在新生儿期进行，其余在出生后的前六个月内进行。为确定是否存在单一心室，通过左右房室瓣分别向左右心房及心室注入造影剂。所有病例中球室孔均由后向前定位。左心室型患者有右前、前上或左前残腔。根据其形态，分为三种类型：左型、右型或不定型。在这些病例系列中，14例患者为左心室形态。所有病例均有残腔：10例伴有大动脉转位，4例伴有正常相关大动脉。6例呈现正常位（5例左位心，8例位置不明确（6例无脾，4例右位心）。9例房室瓣异常。在不定型中，2例为正常位，2例多脾，2例无脾。2例（1例无脾）心尖指向右侧。2例多脾患者、1例正常位且单心房患者有共同房室瓣。4例有前位主动脉，3例有肺动脉梗阻。
