Bharati S, McAllister H A, Tatooles C J, Miller R A, Weinberg M, Bucheleres H G, Lev M
J Thorac Cardiovasc Surg. 1976 Sep;72(3):383-400.
In the anatomy of 416 hearts, the seat of tricuspid stenosis or atresia is examined, with special reference to Fontan-like surgical procedures. A classification is offered which includes cases with and without regular or inverted transposition, and with decreased or increased pulmonary flow. The size and thickness of the right atrium, the size and architecture of the right ventricle, the size of the pulmonary tree, the types of atrial and ventricular septal defects, the condition of the mitral valve, and the size and thickness of the left atrium and left ventricle are analyzed. In addition the various intracardiac and extracardiac abnormalities are enumerated. Reference is also made to the tendency of the aorta and pulmonary trunk to override the septum, in some cases producing double-outlet left ventricle. It is considered that many cases of tricuspid valve atresia and stenosis with or without transposition may be amenable to Fontan-like procedures in the proper age group. All the above anatomic considerations have a bearing on the suitability and type of operative tricuspid bypass procedures, and they may influence the prognosis of surgical therapy.
在对416颗心脏的解剖结构进行研究时，对三尖瓣狭窄或闭锁的部位进行了检查，特别提及了类Fontan手术操作。提出了一种分类方法，涵盖了伴有或不伴有常规或镜像转位、肺血流量减少或增加的病例。分析了右心房的大小和厚度、右心室的大小和结构、肺血管树的大小、房间隔和室间隔缺损的类型、二尖瓣的状况以及左心房和左心室的大小和厚度。此外，还列举了各种心内和心外异常情况。文中还提到了主动脉和肺动脉干在某些情况下骑跨于室间隔之上，导致双出口左心室的倾向。认为许多伴有或不伴有转位的三尖瓣闭锁和狭窄病例，在适当的年龄组可能适合进行类Fontan手术。上述所有解剖学因素均与三尖瓣旁路手术的适用性和类型相关，并且可能影响手术治疗的预后。
