孤立的不协调房室连接能在没有房间或室间分流的情况下存活吗?

IF 1.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS World Journal for Pediatric and Congenital Heart Surgery Pub Date : 2023-05-01 DOI:10.1177/21501351221145169
Pranav Subbaraya Kandachar, Eapen Thomas, Areej Al Maskary, Andrew Campbell
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引用次数: 0

摘要

孤立性房室连接不协调的临床表现类似于大动脉转位。在没有明显的心内分流的情况下,出生时可能出现深度紫绀。我们报告一个这样的5个月大的婴儿谁只有轻微的紫绀。左侧三尖瓣跨立于室间隔,闭合性室间相通,是一种“双出口左心房,三个房室瓣”,提供了必要的“左向右”分流,而严重的反流通过跨立于部分和动脉导管未闭提供了有效的肺血流。
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Can Isolated Discordant Atrioventricular Connections Survive Without Interatrial or Interventricular Shunt?

Clinical presentation of isolated discordant atrioventricular connections is akin to transposition of the great arteries. In the absence of a significant intracardiac shunt, profound cyanosis is expected at birth. We report one such 5-month-old infant who had only mild cyanosis. The left-sided tricuspid valve straddled the interventricular septum with a closed interventricular communication, a type of "Double Outlet Left Atrium with three atrioventricular valves," which provided the necessary "left to right" shunt while severe regurgitation through the straddling part and a patent ductus arteriosus provided the effective pulmonary blood flow.

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CiteScore
1.80
自引率
11.10%
发文量
128
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