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[伴肺动脉狭窄及室间隔交通的大血管转位。解剖与手术方面。附10例报告]

[Transposition of great vessels with pulmonary stenosis and interventricular communication. Anatomic and surgical aspects. Apropos of 10 cases].

作者信息

Lancelin B, Pauly-Laubry C, Guerinon J, Tricot J L, Bouchard F, Maurice P

出版信息

Arch Mal Coeur Vaiss. 1975 Apr;68(4):339-51.

PMID:816290
Abstract

10 cases of anomalous position of the great vessels are reported. They include 8 cases of d-transpositions, 1 of 1-transposition and 1 anatomically corrected malposition. These cases have in common the combination of a ventricular septal defect with a pulmonary stenosis. The anatomical study (6 of 10 cases) made it possible to describe the type of the VSD (related to a defect of development and/or alinement of parietal on the septal band) and of the pulmonary pathway stenosis. Blalock's anastomosis has made it possible to obtain an improvement in 6 patients. 4 operations of complete cure were undertaken in d-transpositions: 2 Mustard's operations ending in death. 2 operations according to Rastelli's principles with one death and one good result. The case of anatomically corrected malposition died after an attempt at complete cure, in view of a left ventricular hypoplasia. The indication for the type of complete cure was discussed in relation with the anatomical data.

摘要

报告了10例大血管位置异常的病例。其中包括8例d型转位、1例l型转位和1例解剖矫正型错位。这些病例的共同特点是室间隔缺损合并肺动脉狭窄。解剖学研究(10例中的6例)使得能够描述室间隔缺损的类型(与隔带壁的发育缺陷和/或排列缺陷有关)以及肺通路狭窄的类型。布劳洛克吻合术使6例患者病情得到改善。对d型转位患者进行了4例完全治愈手术:2例马斯塔德手术,1例死亡;2例按拉斯泰利原则进行的手术,1例死亡,1例效果良好。解剖矫正型错位病例在尝试完全治愈后死亡,原因是左心室发育不全。结合解剖学数据讨论了完全治愈类型的适应症。

相似文献

1
[Transposition of great vessels with pulmonary stenosis and interventricular communication. Anatomic and surgical aspects. Apropos of 10 cases].[伴肺动脉狭窄及室间隔交通的大血管转位。解剖与手术方面。附10例报告]
Arch Mal Coeur Vaiss. 1975 Apr;68(4):339-51.
2
Double outlet right ventricle, non-committed ventricular septal defect and pulmonic stenosis. Anatomical and surgical considerations.右心室双出口、非限制性室间隔缺损和肺动脉狭窄。解剖学和手术方面的考虑。
Thorac Cardiovasc Surg. 1980 Oct;28(5):368-70. doi: 10.1055/s-2007-1022111.
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[A case of Rastelli's operation for ventricular septal defect and pulmonary stenosis with anatomically corrected malposition of the great arteries].[1例室间隔缺损合并肺动脉狭窄伴大动脉解剖矫正型错位的Rastelli手术病例]
Kyobu Geka. 1988 Jan;41(1):50-3.
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Ann Pediatr (Paris). 1984 Sep;31(7):621-4.
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Nihon Kyobu Geka Gakkai Zasshi. 1974 Sep;22(9):956-61.
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引用本文的文献

1
Transposition of the great arteries with ventricular septal defect and pulmonary stenosis.大动脉转位合并室间隔缺损和肺动脉狭窄。
Br Heart J. 1978 May;40(5):494-9. doi: 10.1136/hrt.40.5.494.