Common arterial trunk in the era of high prenatal detection rates: Results of neonatal palliation and primary repair

2021 ◽  
Author(s):  
William N. Evans ◽  
Ruben J. Acherman ◽  
Michael L. Ciccolo ◽  
Juan Lehoux ◽  
Alvaro Galindo ◽  
...  
Keyword(s):  
Primary Repair ◽  
Detection Rates ◽  
Prenatal Detection ◽  
Common Arterial Trunk ◽  
Arterial Trunk

Feasability of a valveless RV-PA connection in primary repair of common arterial trunk

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
E Kusmenkov ◽  
J Hörer ◽  
J Cleuziou ◽  
J Kasnar-Samprec ◽  
M Vogt ◽  
...  
Keyword(s):  
Primary Repair ◽  
Common Arterial Trunk ◽  
Arterial Trunk

Common Arterial Trunk Repair by Means of a Handmade Bovine Pericardial-Valved Woven Dacron Conduit

2016 ◽  
Vol 8 (1) ◽  
pp. 69-76
Author(s):  
Samuel Ramírez-Marroquín ◽  
Pedro José Curi-Curi ◽  
Juan Calderón-Colmenero ◽  
José Antonio García-Montes ◽  
Jorge Luis Cervantes-Salazar
Keyword(s):  
Primary Repair ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Long Term Results ◽  
Actuarial Survival ◽  
Common Arterial Trunk ◽  
Arterial Trunk ◽  
Actuarial Survival Rate ◽  
The Right

Background: Surgical repair of common arterial trunk (CAT) by means of a homograft conduit has become a standard practice. We report our experience in the correction of this heart disease with a handmade bovine pericardial-valved woven Dacron conduit as an alternative procedure to homografts, with a focus on early, mid-term, and long-term results. Methods: We designed a retrospective study that included 15 patients with a mean age of 1.5 years (range: three months to eight years), who underwent primary repair of simple CAT. Right ventricular outflow tract was reconstructed in all the cases with this handmade graft that was explanted at the time of its biological stenotic degeneration. A peeling procedure was performed at this time, in order to reconstruct the right ventricle-to-pulmonary artery continuity. Results: Overall mortality was 13.3% (one death at the early postoperative primary repair and the other at the mid-term postoperative peeling reoperation). Actuarial survival rate was 93.3%, 86.7%, and 86.7% at 5, 10, and 15 years, respectively. All of the 14 survivors developed stenosis of the handmade conduit at the mid-term period (8 ± 3 years), but after the peeling procedure, 13 survivors remain asymptomatic to date. Conclusions: Primary repair of common arterial trunk using a handmade conduit can be performed with very low perioperative mortality and satisfactory mid-term and long-term results, which can be favorably compared with those reported with the use of homografts. When graft obstruction develops, peeling procedure is a good option because it does not affect the overall survival, although long-term outcomes warrant further follow-up.

Assessment of operability for common arterial trunk without cardiac catheterisation

2005 ◽  
Vol 15 (3) ◽  
pp. 241-244 ◽  
Author(s):  
Amir-Reza Hosseinpour ◽  
Elliot A. Shinebourne
Keyword(s):  
Risk Factor ◽  
Vascular Disease ◽  
Screening Test ◽  
Surgical Repair ◽  
Cardiac Catheterisation ◽  
Pulmonary Vascular Disease ◽  
Older Children ◽  
Common Arterial Trunk ◽  
Arterial Trunk ◽  
Simple Screening

Pulmonary vascular disease is a risk factor for the surgical management of common arterial trunk. Surgical repair, therefore, is usually performed in early infancy, before irreversible changes can occur in the epulmonary vasculature. Because of this, there has been an increasing tendency to dispense with cardiac catheterisation as a means of assessing pulmonary vascular disease. Cardiac catheterisation, nonetheless, is still performed when there is a risk of pulmonary vascular disease, such as in older children. There are no clear guidelines, however, as to who should be catheterised. We have developed a simple screening test to help make this decision.

Precision and impact of prenatal diagnosis of common arterial trunk

2021 ◽  
Vol 13 (4) ◽  
pp. 321
Author(s):  
Daniela Laux ◽  
Neil Derridj ◽  
Fanny Bajolle ◽  
Hugues Lucron ◽  
Karim Jamal-Bey ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Common Arterial Trunk ◽  
Arterial Trunk

Common arterial trunk with crossed pulmonary arteries

2022 ◽  
Author(s):  
Vidiyala Pujitha ◽  
Niraj Nirmal Pandey ◽  
Sanjeev Kumar ◽  
Sivasubramanian Ramakrishnan
Keyword(s):  
Pulmonary Arteries ◽  
Common Arterial Trunk ◽  
Arterial Trunk ◽  
Crossed Pulmonary Arteries

An anatomical study of 110 cases with deficiency of the aorticopulmonary septum with emphasis on the role of the arterial duct

1992 ◽  
Vol 2 (4) ◽  
pp. 342-352 ◽  
Author(s):  
Leon M. Gerlis ◽  
Candida C. d'A. MacGregor ◽  
Siew Yen Ho
Keyword(s):  
Aortic Arch ◽  
Anatomical Study ◽  
Left Pulmonary Artery ◽  
Clinical Situation ◽  
Interrupted Aortic Arch ◽  
Developmental Defect ◽  
Common Arterial Trunk ◽  
Arterial Duct ◽  
Arterial Trunk

AbstractTo assess the prevalence and role of the arterial duct in hearts with incomplete development of the aorticopulmonary septum, 110 autopsy specimens, comprising 100 examples of common arterial trunk and 10 cases with aorticopulmonary window, were studied. In addition to intracardiac malformations, these specimens were analyzed to determine the side of the aortic arch, the presence and location of any interruption of the arch, the presence of any anomaly of origin and course of the subclavian arteries, and the status of the arterial duct. The arterial duct was present in 33 cases, absent in 63 cases and undetermined in four cases with common arterial trunk. The duct provided an essential pathway for flow in the 20 cases with interrupted aortic arch, and in two cases with interruption of the proximal portion of the left pulmonary artery. The presence of the duct in 11 cases, in functional terms, was not essential. In the 10 hearts with aorticopulmonary window, the duct was present in eight. It was an obligatory part of the circulatory pathways in three cases where the aortic arch was interrupted. The prevalence of non-obligatory ducts was 71% in hearts with aorticopulmonary window compared to 15% in hearts with common arterial trunk. The prevalence of the duct in cases with aorticopulmonary window suggests this lesion is a later developmental defect. The functional role of an arterial duct in these hearts should be properly assessed in the clinical situation.

scholarly journals Systolic excursion of the leaflets of the truncal valve: An unusual mechanism for pulmonary stenosis in common arterial trunk

2020 ◽  
Vol 13 (3) ◽  
pp. 194
Author(s):  
SaurabhKumar Gupta ◽  
Abhinav Aggarwal ◽  
GurpreetS Gulati ◽  
Sivasubramanian Ramakrishnan ◽  
ShyamS Kothari ◽  
...  
Keyword(s):  
Pulmonary Stenosis ◽  
Common Arterial Trunk ◽  
Arterial Trunk

Intramural Coronary Artery in Truncus Arteriosus: Importance of Preoperative Echocardiographic Diagnosis and Impact on Surgical Planning

2017 ◽  
Vol 9 (3) ◽  
pp. 368-370 ◽  
Author(s):  
Arshid Mir ◽  
Harold M. Burkhart ◽  
Kumar Ponniah ◽  
Kent Ward
Keyword(s):  
Coronary Artery ◽  
Surgical Planning ◽  
Left Main Coronary Artery ◽  
Truncus Arteriosus ◽  
Coronary Artery Anomalies ◽  
Transesophageal Echocardiogram ◽  
Coronary Anatomy ◽  
Common Arterial Trunk ◽  
Arterial Trunk ◽  
Intramural Coronary Artery

Coronary artery anomalies are known to be associated with truncus arteriosus (common arterial trunk). Delineation of coronary anatomy preoperatively is important to avoid complications intraoperatively and postoperatively. We report the case of a 12-year-old boy with repaired truncus arteriosus who presented with moderate to severe truncal valve regurgitation and severe conduit stenosis. He was noted to have intramural left main coronary artery on a transesophageal echocardiogram performed preoperatively.

Outcomes after common arterial trunk repair: Impact of the surgical technique

2020 ◽  
Author(s):  
Neil Derridj ◽  
Olivier Villemain ◽  
Babak Khoshnood ◽  
Zahra Belhadjer ◽  
Régis Gaudin ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Common Arterial Trunk ◽  
Arterial Trunk

Common arterial trunk associated with double aortic arch

1999 ◽  
Vol 68 (5) ◽  
pp. 1850-1852 ◽  
Author(s):  
Christian Schreiber ◽  
Victor T Tsang ◽  
Robert Yates ◽  
Sachin Khambadkone ◽  
Siew Yen Ho ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Double Aortic Arch ◽  
Common Arterial Trunk ◽  
Arterial Trunk
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