Nudel D B, Kelley M J, Hellenbrand W E, Barash P, Stansel H C, Berman M A
J Thorac Cardiovasc Surg. 1976 Oct;72(4):644-51.
The radiographic, angiographic, hemodynamic, and surgical features of 2 cases of cor triatriatum complicated by other cardiac anomalies are presented. In the first case, the patient had tetralogy of Fallot, the scimitar syndrome, and left ventricular obstruction. In the second case the patient had truncus arteriosus. The first case was revealed only after augmentation of pulmonary flow by an aorta-pulmonary artery anastomosis. In the second case, the diagnosis was retrospectively suggested by certain angiographic and hemodynamic clues. The prospective diagnosis was made only after a modified Rastelli procedure for truncus arteriosus. The difficulties encountered in making the diagnosis in both cases are discussed. It is stressed that a high index of suspicion, thorough accumulation and examination of hemodynamic data, and excellent angiograms and plain film radiography are all necessary to an early diagnosis of cor triatriatum when the latter is complicated by other congenital heart anomalies.
本文介绍了2例合并其他心脏异常的三房心患者的影像学、血管造影、血流动力学及手术特征。第一例患者患有法洛四联症、弯刀综合征及左心室梗阻。第二例患者患有共同动脉干。第一例仅在通过主动脉-肺动脉吻合术增加肺血流量后才得以发现。第二例则是通过某些血管造影和血流动力学线索进行回顾性诊断提示。仅在进行改良的共同动脉干Rastelli手术后才做出前瞻性诊断。文中讨论了两例诊断过程中遇到的困难。强调当三房心合并其他先天性心脏异常时，高度的怀疑指数、全面收集和检查血流动力学数据以及高质量的血管造影和X线平片对早期诊断三房心均十分必要。
