Cardiology/ja: Difference between revisions

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~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~

==== 大動脈転位症 ====

=~~=== Transposition of great arteries~~ ====

[[File:D-tga-575px.jpg|thumb|左大動脈転位症]]

[[File:D-tga-575px.jpg|thumb|~~Dextro-transposition of the Great Arteries~~]]

[[ransposition of the great vessels/ja|大動脈転位]]には、心室と血管がつながっている場所によって、[[Dextro-Transposition of the great arteries/ja|大動脈デキストロ転位]]と[[Levo-Transposition of the great arteries/ja|大動脈レボ転位]]の2種類がある。レボ転位は新生児の約4,000人に1人の割合で起こり、右心室が大動脈に血液を送り込み、脱酸素化された血液が血流に入ることである。一時的な処置としては、[[atrial septal defect/ja|心房中隔欠損]]を形成することである。永久固定術はより複雑で、肺還流を右心房に、全身還流を左心房に方向転換する必要があり、これは[[Senning procedure/ja|Senning法]]として知られている。左室流出を迂回させ、肺動脈を分割し、右室と肺動脈の間に導管を設置する[[Rastelli procedure/ja|Rastelli法]]も可能である。レボ転位は新生児の約13,000人に1人の割合で起こり、左心室が肺に血液を送り込み、右心室が大動脈に血液を送り込むという特徴がある。左心室は肺に血液を送り、右心室は大動脈に血液を送る。左心室を全身心室に、右心室を肺動脈に血液を送り出すように切り替えることで、レボ転位は修復される。

~~There are two different types of~~ [[~~Transposition~~ of the great vessels|~~transposition of the great arteries~~]], [[Dextro-Transposition of the great arteries|~~Dextro-transposition of the great arteries~~]] ~~and~~ [[Levo-Transposition of the great arteries|~~Levo-transposition of the great arteries~~]], depending on where the chambers and vessels connect. Dextro-transposition happens in about 1 in 4,000 newborns and is when the right ventricle pumps blood into the aorta and deoxygenated blood enters the bloodstream. The temporary procedure is to create an [[atrial septal defect]]~~. A permanent fix is more complicated and involves redirecting the pulmonary return to the right atrium and the systemic return to the left atrium, which is known as the~~ [[Senning procedure]]~~. The~~ [[Rastelli procedure]] ~~can also be done by rerouting the left ventricular outflow~~, dividing the pulmonary trunk, and placing a conduit in between the right ventricle and pulmonary trunk. Levo-transposition happens in about 1 in 13,000 newborns and is characterized by the left ventricle pumping blood into the lungs and the right ventricle pumping the blood into the aorta. This may not produce problems at the beginning, but will eventually due to the different pressures each ventricle uses to pump blood. Switching the left ventricle to be the systemic ventricle and the right ventricle to pump blood into the pulmonary artery can repair levo-transposition.

~~</div>~~

==== 持続性動脈峡====

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 </div>
-<div lang="en" dir="ltr" class="mw-content-ltr">
+==== 大動脈転位症 ====
-==== Transposition of great arteries ====
+[[File:D-tga-575px.jpg|thumb|左大動脈転位症]]
-[[File:D-tga-575px.jpg|thumb|Dextro-transposition of the Great Arteries]]
+[[ransposition of the great vessels/ja|大動脈転位]]には、心室と血管がつながっている場所によって、[[Dextro-Transposition of the great arteries/ja|大動脈デキストロ転位]]と[[Levo-Transposition of the great arteries/ja|大動脈レボ転位]]の2種類がある。レボ転位は新生児の約4,000人に1人の割合で起こり、右心室が大動脈に血液を送り込み、脱酸素化された血液が血流に入ることである。一時的な処置としては、[[atrial septal defect/ja|心房中隔欠損]]を形成することである。永久固定術はより複雑で、肺還流を右心房に、全身還流を左心房に方向転換する必要があり、これは[[Senning procedure/ja|Senning法]]として知られている。左室流出を迂回させ、肺動脈を分割し、右室と肺動脈の間に導管を設置する[[Rastelli procedure/ja|Rastelli法]]も可能である。レボ転位は新生児の約13,000人に1人の割合で起こり、左心室が肺に血液を送り込み、右心室が大動脈に血液を送り込むという特徴がある。左心室は肺に血液を送り、右心室は大動脈に血液を送る。左心室を全身心室に、右心室を肺動脈に血液を送り出すように切り替えることで、レボ転位は修復される。
-There are two different types of [[Transposition of the great vessels|transposition of the great arteries]], [[Dextro-Transposition of the great arteries|Dextro-transposition of the great arteries]] and [[Levo-Transposition of the great arteries|Levo-transposition of the great arteries]], depending on where the chambers and vessels connect. Dextro-transposition happens in about 1 in 4,000 newborns and is when the right ventricle pumps blood into the aorta and deoxygenated blood enters the bloodstream. The temporary procedure is to create an [[atrial septal defect]]. A permanent fix is more complicated and involves redirecting the pulmonary return to the right atrium and the systemic return to the left atrium, which is known as the [[Senning procedure]]. The [[Rastelli procedure]] can also be done by rerouting the left ventricular outflow, dividing the pulmonary trunk, and placing a conduit in between the right ventricle and pulmonary trunk. Levo-transposition happens in about 1 in 13,000 newborns and is characterized by the left ventricle pumping blood into the lungs and the right ventricle pumping the blood into the aorta. This may not produce problems at the beginning, but will eventually due to the different pressures each ventricle uses to pump blood. Switching the left ventricle to be the systemic ventricle and the right ventricle to pump blood into the pulmonary artery can repair levo-transposition.
-</div>
 ==== 持続性動脈峡====