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镜像右位心合并孤立性心室不协调及完全性房室通道。成功手术修复报告。

Isolated ventricular discordance and complete atrioventricular canal in situs inversus. Report of successful surgical repair.

作者信息

Hazan E, Baillot F, Rey C, Dupuis C

出版信息

Am J Cardiol. 1977 Sep;40(3):463-6. doi: 10.1016/0002-9149(77)90173-4.

DOI:10.1016/0002-9149(77)90173-4
PMID:900045
Abstract

Isolated ventricular discordance is a very rare malformation, most often lethal in the first months of life. A patient with this lesion survived to age 9 years in spite of the coexistence of a complete form of atrioventricular (A-V) canal. Surgical repair with a Mustard procedure was associated with correction of the endocardial cushion defect. Situs inversus itself caused no problem. Although permanent complete A-V block occurred, the result has been satisfactory so far. This case is thought to be the first successful correction of this malformation.

摘要

孤立性心室不协调是一种非常罕见的畸形,通常在出生后的头几个月内致命。尽管存在完全型房室通道,但一名患有这种病变的患者存活至9岁。采用Mustard手术进行手术修复与心内膜垫缺损的矫正相关。内脏反位本身并未造成问题。虽然发生了永久性完全性房室传导阻滞,但迄今为止结果令人满意。该病例被认为是首例成功矫正这种畸形的病例。

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Isolated ventricular discordance and complete atrioventricular canal in situs inversus. Report of successful surgical repair.镜像右位心合并孤立性心室不协调及完全性房室通道。成功手术修复报告。
Am J Cardiol. 1977 Sep;40(3):463-6. doi: 10.1016/0002-9149(77)90173-4.
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引用本文的文献

1
Prenatal diagnosis of isolated atrioventricular discordance using fetal echocardiography.使用胎儿超声心动图对孤立性房室不一致进行产前诊断。
Images Paediatr Cardiol. 2014 Jan-Mar;16(1):5-10.
2
Successful management of isolated ventricular inversion in an adult.成人孤立性心室反位的成功管理。
Pediatr Cardiol. 2004 Sep-Oct;25(5):554-7. doi: 10.1007/s00246-003-0583-3. Epub 2004 May 20.
3
A case of isolated atrioventricular discordance.一例孤立性房室不一致病例。
Br Heart J. 1982 Apr;47(4):400-3. doi: 10.1136/hrt.47.4.400.
4
Mustard's operation for patients with ventriculoarterial concordance. Report of two cases and a cautionary tale.针对心室动脉一致患者的马斯塔德手术。两例报告及一则警示故事。
Br Heart J. 1985 Apr;53(4):443-50. doi: 10.1136/hrt.53.4.443.
5
Discordant atrioventricular connection and concordant ventriculoarterial connection in situs inversus: isolated ventricular noninversion.镜像右位心时的房室连接不一致和心室动脉连接一致:孤立性心室不倒转。
Pediatr Cardiol. 1991 Apr;12(2):126-7. doi: 10.1007/BF02238420.