Attie F, Soni J, Ovseyevitz J, Muñoz-Castellanos L, Testelli M R, Buendia A
Circulation. 1980 Aug;62(2):407-15. doi: 10.1161/01.cir.62.2.407.
The results and value of conventional and axial angiocardiography were studied in 26 cases of atrioventricular discordance (AVD). The angiographic anatomy of this malformation was analyzed to determine the precise characteristics of atrioventricular and ventriculoarterial connections. The left and right ventricles in atrial situs solitus and levocardia show angiographic features that differ from those seen in atrial situs solitus and dextrocardia. The same differences are found in atrial situs inversus. Regardless of the type of ventriculoarterial connections, the ventricles maintain the same angiographic characteristics. The ventricular septum in AVD in situs solitus and levocardia and situs inversus and dextrocardia has a peculiar orientation. The use of axial angiocardiography facilitates detection and localization of the ventricular septal defect. In cases of malposition of the heart, the conventional frontal view allows visualization of the ventricular septum in all of its length. The axial projection is useful in diagnosing left ventricular outflow tract obstruction.
对26例房室不一致（AVD）患者的传统心血管造影和轴位心血管造影的结果及价值进行了研究。分析了这种畸形的血管造影解剖结构，以确定房室和心室动脉连接的精确特征。心房正位和心脏左位时的左、右心室在血管造影上表现出与心房正位和心脏右位时不同的特征。心房反位时也发现了同样的差异。无论心室动脉连接的类型如何，心室都保持相同的血管造影特征。心房正位和心脏左位以及心房反位和心脏右位的AVD患者的室间隔有特殊的方向。轴位心血管造影有助于室间隔缺损的检测和定位。在心脏位置异常的情况下，传统的正位视图可显示室间隔的全长。轴位投影有助于诊断左心室流出道梗阻。
