de Berrazueta J R, Val Bernal F, Díaz Peña J M, Carrión M, Colman T
Arch Inst Cardiol Mex. 1980 Mar-Apr;50(2):161-72.
We show two cases of transposition of the great arteries with arterioventricular discordance and aorta at both sides (right and left). They were diagnosed by angiocardiography and verified afterwards in the anatomical analysis of the specimens. We discuss the necessary steps taken for the diagnosis in which we followed De la Cruz's rules. We emphasize that this anatomical group should be distinguished from the group of arterioventricular concordance. Both groups have the same connection. Against the opinions of other authors, we think that this connection signifies only the same physiology in both groups, but not the same anatomy. This anatomy would be originated by a different embriological fact (different spatial location of the truncal and conal ridges).
我们展示了两例大动脉转位合并房室不一致且主动脉位于两侧(右侧和左侧)的病例。它们通过心血管造影术得以诊断,随后在标本的解剖分析中得到证实。我们讨论了按照德拉·克鲁兹规则进行诊断所采取的必要步骤。我们强调,这个解剖学组应与房室一致组区分开来。两组具有相同的连接方式。与其他作者的观点不同,我们认为这种连接方式仅表明两组具有相同的生理学特征,而非相同的解剖学特征。这种解剖学特征可能源于不同的胚胎学事实(动脉干和圆锥嵴的不同空间位置)。