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[右位心及肺内连续性时大血管的部分扭曲(陶西格-宾氏型)]

[Partial distortion of the great vessels in dextroposition and intrapulmonary continuity (Taussig-Bing variety)].

作者信息

Attié F, Arteaga Martínez M, Castro Bermúdez A, Del Peral M

出版信息

Arch Inst Cardiol Mex. 1976 Jan-Feb;46(1):12-8.

PMID:938145
Abstract

A case of partial distortion of the great arteries in a patient with dextroposition and mitropulmonary continuity is described (Taussig-Bing variety). The embryogenesis and anatomy in comparison with others similar cases found in the literature is analyzed and discussed. The cardiac defect is a partial distortion of the great arteries and its analysis permit to conclude that the conal muscle is not an important anatomic feature; its presence does not play a important roll in the genesis of the heart malformation. This case is compared with the so called "transposition of the great arteries with posterior aorta" and it is concluded that these heart defects have the same embryogenesis and that the relation of the great arteries themselves and with the ventricles depend of different grades of incorporation of the conus. It can be said also that this group of cardiac defects are not true transpositions of the great vessels, because the aorta does not arise anteriorly to the crista supraventricularis.

摘要

本文描述了一例患有大动脉部分扭曲且右位心和二尖瓣与肺动脉连续的患者(陶西格 - 宾氏型)。分析并讨论了与文献中其他类似病例相比的胚胎发生和解剖结构。心脏缺陷是大动脉部分扭曲,对其分析可得出结论:圆锥肌并非重要的解剖特征;其存在对心脏畸形的发生不起重要作用。将该病例与所谓的“后位主动脉型大动脉转位”进行比较,得出这些心脏缺陷具有相同的胚胎发生,且大动脉本身与心室的关系取决于圆锥不同程度的融合。也可以说,这组心脏缺陷并非真正的大血管转位,因为主动脉并非起源于室上嵴前方。

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