Arévalo Salas A, Maitre Azcárate M J, Quero Jiménez M
Departamento de Cardiología Pediátrica, Hospital Infantil, México, D.F.
Rev Esp Cardiol. 1993 Sep;46(9):600-4.
In cases with double inlet left ventricle when there exists a hypoplasia of one of the great arteries, the affected vessel arises from the accessory right ventricular chamber. This is due in general to the presence of a restrictive bulbo-ventricular foramen that results in hypoplasic vessel. The case we present in this paper has unusual anatomic morphology: the hypoplasic vessel (the aorta) arises from the main ventricular chamber. We analyse the electrocardiographic findings useful for the differential diagnosis from cases of isolated aortic coarctation of hypoplasia. We review also the intraventricular anatomic malformations that may cause the presence of a hypoplasic vessel. Even if, our patient died in the neonatal period, the adequate surgical procedure for this case is reviewed.
在双入口左心室病例中,当存在一条大动脉发育不全时,受累血管起源于附属右心室腔。这通常是由于存在限制性球室孔导致血管发育不全。我们在本文中呈现的病例具有不寻常的解剖形态:发育不全的血管(主动脉)起源于主心室腔。我们分析了有助于与孤立性主动脉发育不全缩窄病例进行鉴别诊断的心电图表现。我们还回顾了可能导致发育不全血管存在的心室内解剖畸形。即使我们的患者在新生儿期死亡,仍对该病例的适当手术方法进行了回顾。