Vargas Barrón J, Attié F, Castro M C, Esquivel Avila J
Arch Inst Cardiol Mex. 1982 May-Jun;52(3):219-22.
We studied patients with corrected transposition of the great arteries by M and bidimensional echocardiography. Three patients in situs solitus and one in atrial situs inversus. The characteristics of the atrio-ventricular valves, and it's relation with other heart structures was determined, as well as the ventriculo-arterial connections and the presence of associated defects. The approximations employed were parasternal and suprasternal. The cases of discordant ventriculo-arterial connection in atrial situs solitus showed mitro-pulmonary continuity. In these cases the pulmonary artery, located in a right posterior situation with respect to the aorta, became intensely opaque when contrast material was injected in a peripheral vein. In atrial situs inversus, the aorta had a right and anterior position. We conclude that it is possible to establish the diagnosis of atrioventricular discordance by an adequate systematization of the echocardiographic recordings.
我们通过M型和二维超声心动图对矫正型大动脉转位患者进行了研究。3例心房正位,1例心房反位。确定了房室瓣的特征及其与其他心脏结构的关系,以及心室-动脉连接情况和相关缺陷的存在。采用的检查部位是胸骨旁和胸骨上。心房正位的心室-动脉连接不一致的病例显示二尖瓣与肺动脉连续。在这些病例中,相对于主动脉位于右后方的肺动脉,在向周围静脉注射造影剂时变得明显显影。在心房反位时,主动脉位于右前方。我们得出结论,通过对超声心动图记录进行适当的系统化,可以确立房室不一致的诊断。