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大动脉转位矫正型先天性心脏病中体循环心室发育不全:术前记录及手术可能的影响

Hypoplasia of the systemic ventricle in congenitally corrected transposition of the great arteries: preoperative documentation and possible implications of operation.

作者信息

Erath H G, Graham T P, Hammon J W, Smith C W

出版信息

J Thorac Cardiovasc Surg. 1980 May;79(5):770-5.

PMID:7366245
Abstract

This article describes the determination of small systemic ventricular volume by quantitative cineangiocardiography in two patients with congenitally corrected transposition of great arteries, Ebstein's malformation of the systemic atrioventricular valve, and ventricular septal defect. A subjectively small systemic ventricle and an Ebstein-like abnormality of the systemic atrioventricular valve have been described previously in association with congenitally corrected transposition, but in vivo quantification of ventricular size and pump function has not been reported. An initial palliative rather than a totally corrective procedure is probably desirable in patients with this combination of findings. Ventricular volume calculations may prove useful as an aid in selection of operation in this setting.

摘要

本文描述了通过定量电影心血管造影术测定两名患有大动脉转位矫正型、三尖瓣下移畸形(Ebstein畸形)和室间隔缺损的患者的体循环心室小容积。此前曾有报道称,在大动脉转位矫正型患者中存在主观上较小的体循环心室以及三尖瓣类似Ebstein畸形的异常情况,但尚未有关于心室大小和泵功能的体内定量研究报告。对于有这种综合表现的患者,初步采取姑息性而非完全矫正性手术可能是可取的。心室容积计算可能有助于在这种情况下选择手术方式。

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