The Surgery of Transposition of the Great Vessels.

نویسندگان

  • A G BROM
  • H V SCHAAR
  • J NAUTA
چکیده

In transposition of the great vessels the aorta gets its blood from the right side of the heart into which the caval veins enter, and the pulmonary artery arises from the left side of the heart, getting its blood from the lungs. The normal crossed circulation has changed into two parallel circulations, and the patient can live only if there are shunts between the two circulations. The interior of the heart may also be grossly deformed, but fortunately in this respect most of these hearts are nearly normal, and it is these that will be discussed. The diagnosis of transposition is suspected in babies who are blue from birth. Murmurs and ECG are not characteristic. X-ray pictures show the degree of filling of the pulmonary vessels. Angiocardiography shows the aorta arising from the right heart, and is at the same time important as showing the anatomy of the interior of the heart, especially the formation of the ventricular septum. Heart catheterization is extremely valuable if the pressure in the left ventricle is recorded. According to Noonan, Nadas, Rudolph, and Harris (1960) patients with transposition are of four types.

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عنوان ژورنال:
  • Archives of disease in childhood

دوره 40  شماره 

صفحات  -

تاریخ انتشار 1965