Cabrera A, Pastor E, Azcuna I, Chouza M, Vigil E, Mondragón F
An Esp Pediatr. 1976 Sep-Oct;9(5):503-10.
Eight cases of pulmonary atresia with intact ventricular septum, are reviewed. Three corresponded to the group with small or hypoplastic right ventricle and five to the one with normal or enlarged right ventricular cavity. The electrocardiogram was of less value than plain chest radiography for the differential diagnosis of both groups. Cardiac catheterization revealed a right to left atrial shunt and the suprasystemic level of the right ventricular pressure. Selective angiocardiography demonstrates the stop of contrast at the level of pulmonary valve. Five patients were operated. An ascending aorta to right pulmonary artery anastomosis, Waterston type, was performed in three patients. Pulmonary valvotomy was carried out in the others.
回顾了8例室间隔完整的肺动脉闭锁病例。其中3例属于右心室小或发育不全组，5例属于右心室腔正常或扩大组。心电图在两组的鉴别诊断中价值不如胸部X线平片。心导管检查显示右向左心房分流以及右心室压力高于体循环水平。选择性心血管造影显示造影剂在肺动脉瓣水平受阻。5例患者接受了手术。3例患者进行了Waterston型升主动脉至右肺动脉吻合术。其他患者则进行了肺动脉瓣切开术。
