Lincoln C, Hasse J, Anderson R H, Shinebourne E
Am J Cardiol. 1976 Sep;38(3):344-51. doi: 10.1016/0002-9149(76)90177-6.
Six children with an uncommon variant of complete (that is, physiologically uncorrected) transposition of the great arteries are described. In this malformation, levoposition of the aorta is coincident with situs solitus and concordant atrioventricular relations. All patients underwent successful surgical correction. Four had a ventricular septal defect; in three, the defect was subaortic and because of its unusual anatomic features, a right ventriculotomy was required for repair. Interatrial transposition of venous return was carried out in all cases by insertion of a baffle, as in complete dextrotransposition of the great arteries. The surgical verification of the arterial positions in these cases illustrated the fallibility of the so-called loop rule. The significance of the cases in relation to terminology, classification and morphogenesis of this variant is discussed.
本文描述了6例患有罕见类型的完全性（即生理性未矫正）大动脉转位的儿童。在这种畸形中，主动脉左旋与正常位心及房室关系一致。所有患者均成功接受了手术矫正。4例有室间隔缺损；其中3例缺损位于主动脉下，因其解剖特征异常，修复时需要进行右心室切开术。与完全性大动脉右转位一样，所有病例均通过插入挡板进行了心房内静脉回流转位。这些病例中动脉位置的手术验证说明了所谓的袢环规则的不可靠性。讨论了这些病例在该变异型的术语、分类和形态发生方面的意义。
