Edwards W D, Wilcox W D, Danielson G K, Feldt R H
J Thorac Cardiovasc Surg. 1980 Jul;80(1):141-7.
A case is reported of double-outlet right ventricle (DORV) with restrictive subaortic ventricular septal defect (VSD) in which enlargement of the defect at the time of surgical repair was associated with the late postoperative development of a false aneurysm of the left ventricle. The enlarging fale aneurysm caused extrinsic compression of the dominant left circumflex coronary artery, with subsequent ischemia and infarction of the posterolateral left ventricle. The anatomy and surgical implications of restrictive VSD are discussed.
报道了一例右心室双出口(DORV)合并限制性主动脉下室间隔缺损(VSD)的病例,手术修复时缺损扩大与术后晚期左心室假性动脉瘤形成有关。不断增大的假性动脉瘤导致优势左旋支冠状动脉受到外在压迫,继而引起左心室后外侧缺血和梗死。文中讨论了限制性室间隔缺损的解剖结构及手术意义。