https://scholars.lib.ntu.edu.tw/handle/123456789/192168
Title: | Left Atrial Isomerism in the Adolescence: Report of Two Cases 在青年期 左心房同質異體之兩病例報告 |
Authors: | 劉進益 邱英世 陳錦澤 洪啟仁 連文彬 LIU, CHIN-YIH CHIU, ING-SH CHEN, JIN-JER HUNG, CHI-REN LIEN, WEN-PIN |
Keywords: | 左心房異構;發紺性先生性心臟病;雙側性上腔大靜脈;奇靜脈;下腔大靜脈之間斷;心臟血管病;LEFT ATRIAL ISOMERISM;CYANOTIC CONGENITAL HEART DISEASE;BILATERAL SUPERIOR VENA CAVA | Issue Date: | 1991 | Journal Volume: | v.90 | Journal Issue: | n.1 | Start page/Pages: | 94-98 | Source: | JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION | Abstract: | Atrial isomerism is very rare in adolescence. Two cases of left atrial isomerism are reported here in 2 females, aged 21 and 19 years. They had presented with cyanosis and dyspnea since childhood. High kilovoltage filter films showed a bilateral morphologically left bronchus. Cardiac catheterization in Case 1 revealed normal pulmonary artery pressure, severe subvalvular pulmonic stenosis, a double outlet right ventricle, a significant oxygen step-up at the atrial level and moderate systemic oxygen desaturation; while Case 2 disclosed pulmonary hypertension and mild systemic oxygen desaturation. Both cases had the following anatomical features: ipsilateral connection of pulmonary veins to the bilateral morphological left atrium; interrupted inferior vena cave with azygos or hemiazygos continuation; total anomalous hepatic venous return to the right-sided atrium; complete atrioventricular canal. The diagnoses were confirmed in both cases at surgical correction. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/91852 |
Appears in Collections: | 醫學系 |
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