Suematsu Y, Uchimoto S, Tsumura K, Ishimura E, Kishimoto H, Nishizawa Y, Morii H
Second Department of Internal Medicine, Osaka City University Medical School.
Kokyu To Junkan. 1993 Mar;41(3):293-6.
We report a case of dextrocardia concomitant with tetralogy of Fallot (TOF), patent ductus arteriosus (PDA), bronchiectasia, and pulmonary tuberculosis. A 24-years-old man without surgical operation for TOF, whose diagnosis had been made at infancy, was admitted to the Osaka City University Hospital because of massive hemoptysis. The diagnosis of pulmonary tuberculosis was made. He received anti-tuberculotic drugs and bronchial arterial embolization improved his symptoms. A case of mirror-image dextrocardia concomitant with TOF, PDA, and bronchiectasia, as seen in our case, has a low incidence rate, and, moreover, such a case concomitant with pulmonary tuberculosis is rarer still.
我们报告一例右位心合并法洛四联症（TOF）、动脉导管未闭（PDA）、支气管扩张和肺结核的病例。一名24岁男性，婴儿期即诊断为TOF，未接受过手术治疗，因大量咯血入住大阪市立大学医院。诊断为肺结核。他接受了抗结核药物治疗，支气管动脉栓塞术改善了他的症状。如我们病例所见，镜像右位心合并TOF、PDA和支气管扩张的病例发病率较低，而且，合并肺结核的此类病例更为罕见。
