Berishvili I I, Nasedkina M A, Fal'kovskiĭ G E
Arkh Patol. 1982;44(7):72-7.
Thirteen heart preparations with atresia of the right atrio-ventricular orifice (ARAVO) were examined. The ARAVO implies a congenital heart defect characterized by the lack of direct anatomical contact between the right atrium and the right ventricle, the presence of interatrial passage, the only left atrio-ventricular orifice connecting the left atrium with the only ventricular chamber. As indicated by the results of the study, "the right ventricle" in ARAVO contains no sinus part and, therefore, cannot be regarded as a ventricle. It is a rudimentary chamber. The above data indicate that a heart with one ventricle is the only ventricle. The typical findings in the ventricular (infundibular septum) and rudimentary (complete lack of the inflow part) chambers allow the anatomic essence of the defect to be regarded from new viewpoint and to consider a possibility of performing new operations, anatomo-physiological in nature, in contrast to "hemodynamical" performed previously.
对13例右房室口闭锁(ARAVO)的心脏标本进行了检查。ARAVO是一种先天性心脏缺陷,其特征为右心房与右心室之间缺乏直接的解剖连接,存在房间通道,唯一的左房室口将左心房与唯一的心室腔相连。研究结果表明,ARAVO中的“右心室”没有窦部,因此不能被视为心室。它是一个发育不全的腔室。上述数据表明,单心室心脏中的唯一心室才是真正的心室。在心室(漏斗间隔)和发育不全的腔室(完全缺乏流入部分)中的典型发现,使我们能够从新的角度看待该缺陷的解剖本质,并考虑进行与以往“血液动力学”手术不同的、本质上属于解剖生理学的新手术的可能性。