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[二维超声心动图诊断完全性房室通道合并漏斗部肺动脉狭窄及左上腔静脉。附一例手术治疗病例]

[Diagnosis of a complete atrioventricular canal with infundibular pulmonary stenosis and left superior vena cava by 2-dimensional contrast echocardiography. Apropos of a surgically treated case].

作者信息

Piot J D, David P, Petit J, Leriche H, Piot C, Binet J P

出版信息

Arch Mal Coeur Vaiss. 1981 Sep;74(9):1107-12.

PMID:6794521
Abstract

The case of an eight year old child with complete atrioventricular canal, pulmonary infundibular stenosis and persistent left superior vena cava draining into the coronary sinus is reported. Two-dimensional echocardiography with injection of contrast in a left arm vein gave a precise and complete diagnosis of the malformations before catheterisation and angiography. The complete atrioventricular canal was demonstrated by apical four-chamber views. The pulmonary infundibular stenosis was visualised by a short axis subcostal view. Contrast echocardiography in the apical four-chamber view showed a right-to-left shunt at atrial level at the site of the ostium primum and a right-to-left shunt at ventricular level just below the hemivalve. The left superior vena cava was detected by a short axis suprasternal view which visualised its vertical trajectory as far as the coronary sinus. The lesions were confirmed at surgery, and a complete repair was performed.

摘要

报告了一例8岁儿童,患有完全性房室通道、肺动脉漏斗部狭窄和持续左上腔静脉引流至冠状窦。在左手臂静脉注射造影剂的二维超声心动图在导管插入术和血管造影之前就对畸形进行了精确而完整的诊断。心尖四腔心视图显示了完全性房室通道。肋下短轴视图显示了肺动脉漏斗部狭窄。心尖四腔心视图的造影超声心动图显示在原发孔水平存在心房水平的右向左分流,以及在半瓣膜下方心室水平存在右向左分流。胸骨上短轴视图检测到左上腔静脉,显示其垂直走行直至冠状窦。手术中证实了这些病变,并进行了完全修复。

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