Shakibi J G, Aryanpur I, Nazarian I, Siassi B
Jpn Heart J. 1978 May;19(3):346-57. doi: 10.1536/ihj.19.346.
A heart specimen is presented which showed a rare combination of atrioventricular valve atresia with single ventricle, truncus arteriosus communis with an anteriorly placed trunk, ie transposition. Because of the problems involved in the classification of this heart, the types of single ventricle are revised with particular attention to the rare cases of atrioventricular valve atresia and single ventricle reported in the literature. Also the rare type of truncus arteriosus communis with truncoatrioventricular valve discontinuity is excluded from the so-called transposition complexes, and properly classified as a form of truncus. The literal meaning of transposition is stressed and it is urged to approach congenital heart defects in a purely anatomic sense with definition of each segment as accurately as possible. Thus the present confusion in terminology and further plethora of new terms are avoided.
本文展示了一份心脏标本，其显示出一种罕见的组合情况：房室瓣闭锁合并单心室、共同动脉干且动脉干位于前方，即转位。由于该心脏分类存在问题，因此对单心室类型进行了修订，特别关注文献中报道的房室瓣闭锁合并单心室的罕见病例。此外，具有动脉干房室瓣不连续的罕见类型共同动脉干被排除在所谓的转位复合体之外，并被正确归类为动脉干的一种形式。强调了转位的字面含义，并敦促从纯粹解剖学意义上处理先天性心脏缺陷，尽可能准确地定义每个节段。从而避免了目前术语上的混乱以及更多新术语的出现。
