Thiene G, Frescura C, Milanesi O, Alampi G, Bini R
G Ital Cardiol. 1978;8(11):1168-76.
The approach to the diagnosis of congenital heart disease, based upon the identification of the cardiac chambers, the reconstruction of their sequence and final recognition of the basic circulatory model is discussed. Three cardiac segments are recognizable embriologically, anatomically and functionally: atria, ventricles and great arteries. Connexion is the sequential link of these segments, independently from their spatial relationship. Situs of the atria can be: solitus, inversus or ambiguus, and is determined by the thoracic situs which can be assumed from the bronchial anatomy. Atrio-ventricular connexion can be concordant, absent or double inlet ventricle. Ventricular-arterial connexion can be concordant, discordant, double outlet ventricle or single outlet heart. Since this approach aims to the reconstruction of the connexion among the cardiac segments, heart position and the infundibular anatomy are not relevant to the recognition of the circulatory model.
本文讨论了基于心脏腔室的识别、其顺序的重建以及对基本循环模型的最终识别来诊断先天性心脏病的方法。从胚胎学、解剖学和功能学角度可识别出三个心脏节段：心房、心室和大动脉。连接是这些节段的顺序联系，与它们的空间关系无关。心房的位置可以是：正常位、反位或不明确，并且由胸部位置决定，胸部位置可从支气管解剖结构推断出来。房室连接可以是协调一致的、缺失的或双入口心室。心室-动脉连接可以是协调一致的、不协调的、双出口心室或单出口心脏。由于这种方法旨在重建心脏节段之间的连接，因此心脏位置和漏斗部解剖结构与循环模型的识别无关。
