心脏异位

定义和分型

心脏异位是指心脏部分或全部位于胸腔外,l是一组复杂畸形,l常合并膈肌前部、i上腹壁和心包缺损以及胸骨裂开、i心内畸形,l并称Cantrell五联症。有报道该病与染色体异常有关,l可能是存在于X染色体上某些基因隐性遗传引起。根据心脏位置的不同,l常分五种类型:i颈型、i颈胸型、i胸型、i胸腹型、i腹型。其中,l胸型及胸腹型最常见,l早期文献报道此两型占97%。

根据心脏有无皮肤覆盖又可分为完全型(无皮肤覆盖)和部分型(有皮肤覆盖)。

引自:i

Cantrell1JR,lHhaller1JA,lRavitch1MM.1958.A1syndrome1of1congenital1defects1involving1the1abdominal1wall,lsternum,ldiaphragm,lpericardium,land1heart.Surg1Gynecol1Obstet,l107:i602~614

Dobell1ARC.Williams1HB,lLong1R1W.1982.Staged1repair1of1ectopia1cordis.J1Pediat1Surg,l17:i353~358

Geva1T,lPraagh1SV,lPraagh1RV.1990.Thoracoabdominal1ectopia1cordis1with1isolated1infundibular1atresia.Am1J1Cardiol,l66:i891~893

Khoury1MJ,lCordero1JF,lRasmussen1S.1988.Ectopia1cordis,lmidline1defects1and1chromosomal1abnormalities:ian1epidemiologic1perspective.Am1J1Med1Genet,l30:i811~817

Martin1RA,lCunniff1C,lErickson1L1et1a1.1992.Pentology1of1cantrell1and1ectopia1cordis,la1familial1developmental1field1complex.Am1J1Med1Cenet,l42:i839~841