Tanaka A C, Atik E, Ikari N M, Aiello V D, Kajita L J, Ebaid M
Instituto do Coração do Hospital das Clínicas-FMUSP, São Paulo.
Arq Bras Cardiol. 1993 May;60(5):339-42.
Two cases of transposition of the great arteries (TGA) with posterior aorta are reported. The first was submitted to the Senning procedure with good outcome; the other had the diagnosis of double outlet right ventricle with severe pulmonary stenosis, and a Blalock-Taussig shunt was accomplished for hypoxic crisis. The patient died 11 days after surgery and the necropsy demonstrated TGA with posterior aorta. In both cases there was a sub-pulmonary infundibulum. The presence of ventricular septal defects allowed aortic-mitral fibrous continuity, a finding previously described in anatomical reports. Clinical and angiographic aspects are discussed.
报告了两例伴有后位主动脉的大动脉转位（TGA）病例。第一例接受了森宁手术，结果良好；另一例被诊断为右心室双出口伴严重肺动脉狭窄，因缺氧危机进行了布莱洛克 - 陶西格分流术。该患者术后11天死亡，尸检显示为伴有后位主动脉的TGA。两例均有肺动脉下漏斗部。室间隔缺损的存在使得主动脉 - 二尖瓣纤维连续，这是先前解剖报告中描述过的发现。对临床和血管造影方面进行了讨论。
