scholarly journals An unusual combination of persistent silent truncus arteriosus Type-II with ascending aortic aneurysm

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Mohamed Farah Yusuf Mohamud ◽  
Mohamed Abdullahi Mohamud ◽  
Abdinafic Mohamud Hussein ◽  
Ismail Gedi İbrahim
Keyword(s):  
Aortic Aneurysm ◽  
Surgical Intervention ◽  
Pulmonary Arteries ◽  
Truncus Arteriosus ◽  
Cardiac Anomaly ◽  
Type Ii ◽  
Shortness Of Breath ◽  
Ascending Aortic Aneurysm ◽  
Congenital Cardiac Anomaly ◽  
Vascular Occlusive Disease

Abstract Truncus arteriosus (TA) is a relatively uncommon cyanotic congenital cardiac anomaly accounting for 1.3% of all congenital cardiac malformations. TA associated with an ascending aortic aneurysm is an extremely rare congenital cardiovascular abnormality. A 15-year-old male presented with shortness of breath and cough for 2 weeks. Radiological examinations showed that the ascending aorta and main pulmonary arteries originate from a single truncus with ascending aortic aneurysm. TA has a poor prognosis if remain unrepaired and surgical intervention is necessary to avoid severe pulmonary vascular occlusive disease.

scholarly journals Computed tomography diagnosis of truncus arteriosus type IV: a case report

2019 ◽  
Vol 6 (1) ◽  
pp. 37-40
Author(s):  
Pradeep Raj Regmi ◽  
Isha Amatya ◽  
Prajawal Dhakal ◽  
Ranjit Kumar Chaudhary ◽  
Prakash Kayastha ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Septal Defect ◽  
Pulmonary Arteries ◽  
Mirror Image ◽  
Truncus Arteriosus ◽  
Cardiac Anomaly ◽  
Descending Thoracic Aorta ◽  
Congenital Cardiac Anomaly ◽  
Type Iv ◽  
Ct Finding

Truncus arteriosus (TA) is an uncommon congenital cardiac anomaly of which type IV is considered a rare variant. Recognition is crucial for proper treatment planning. The prognosis without treatment is poor. Echocardiography alone may not be useful in evaluation. Computed tomography (CT) finding is complicated. We report an 18 months child with ventricular septal defect (VSD), diagnosed on echocardiography, and further review by CT showed VSD with descending thoracic aorta giving rise to the pulmonary arteries suggestive of pseudo truncus (Collet and Edwards Truncus arteriosus Type IV) and right sided aortic arch with mirror image branching.  

Surviving an abdominal aortic aneurysm type II endoleak rupture without surgical intervention

Vascular ◽  
2014 ◽  
Vol 23 (2) ◽  
pp. 201-203 ◽  
Author(s):  
Jeremy C Smith ◽  
Stuart R Walker
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Natural History ◽  
Endovascular Repair ◽  
Surgical Intervention ◽  
Type Ii ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Type Ii Endoleak ◽  
Abdominal Aortic

We describe a patient who survived a ruptured abdominal aortic aneurysm without any surgical intervention. The patient had previously had endovascular repair of the aneurysm and surveillance of a stable persistent type II endoleak. This case highlights the difficulties surrounding type II endoleak, its natural history, and the ongoing controversies of its management.

scholarly journals Giant Dissecting Aortic Aneurysm in an Asymptomatic Young Male

2015 ◽  
Vol 2015 ◽  
pp. 1-2 ◽  
Author(s):  
Priyank Shah ◽  
Nishant Gupta ◽  
Irvin Goldfarb ◽  
Fayez Shamoon
Keyword(s):  
Aortic Aneurysm ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Hereditary Hemorrhagic Telangiectasia ◽  
Surgical Intervention ◽  
Young Male ◽  
Physical Exam ◽  
Ascending Aortic Aneurysm ◽  
Rare Finding ◽  
Dissecting Aortic Aneurysm

Giant aortic aneurysm is defined as aneurysm in the aorta greater than 10 cm in diameter. It is a rare finding since most patients will present with complications of dissection or rupture before the size of aneurysm reaches that magnitude. Etiological factors include atherosclerosis, Marfan’s syndrome, giant cell arteritis, tuberculosis, syphilis, HIV-associated vasculitis, hereditary hemorrhagic telangiectasia, and medial agenesis. Once diagnosed, prompt surgical intervention is the treatment of choice. Although asymptomatic unruptured giant aortic aneurysm has been reported in the literature, there has not been any case of asymptomatic giant dissecting aortic aneurysm reported in the literature thus far. We report a case of giant dissecting ascending aortic aneurysm in an asymptomatic young male who was referred to our institution for abnormal findings on physical exam.

scholarly journals A case of computed tomography diagnosis of truncus arteriosus type IV

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Abid M Sadiq ◽  
Adnan M Sadiq
Keyword(s):  
Computed Tomography ◽  
Septal Defect ◽  
Surgical Intervention ◽  
Interventricular Septum ◽  
Pulmonary Arteries ◽  
Truncus Arteriosus ◽  
Persistent Truncus Arteriosus ◽  
Descending Aorta ◽  
Type Iv ◽  
Arterial Trunk

ABSTRACT Persistent truncus arteriosus is a rare congenital heart disease with four variants, and the last being the rarest. The prognosis without surgical intervention is poor. In such cases, an echocardiography is not sufficient hence computed tomography (CT) imaging is required. We report a 26-year-old female with difficulty in breathing since childhood with cyanosis. Her echocardiography showed a ventricular septal defect (VSD) and the CT showed a single arterial trunk overriding the interventricular septum with a VSD, and the descending aorta giving rise to the pulmonary arteries suggestive of pseudo truncus, known as truncus arteriosus type IV.

scholarly journals A Rare Cause of Pulmonary Hypertension in a 4-Year-Old Toddler: Association of Cor Triatriatum Sinister and Pulmonary Arteriovenous Malformation

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Can Yilmaz Yozgat ◽  
Erkan Cakir ◽  
Hakan Yazan ◽  
Hafize Otcu Temur ◽  
Kahraman Yakut ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Arteriovenous Malformation ◽  
Pulmonary Arteries ◽  
Venous Hypertension ◽  
Pulmonary Arteriovenous Malformation ◽  
Cor Triatriatum ◽  
Cardiac Anomaly ◽  
Congenital Cardiac Anomaly ◽  
Cor Triatriatum Sinister ◽  
Arteries And Veins

Cor triatriatum sinister is a rare congenital cardiac anomaly. The anomaly is caused by a fibromuscular membrane that divides the left atrium into two cavities. This membrane can lead to the obstruction of left atrial flow and also create pulmonary venous hypertension. Pulmonary arteriovenous malformation (PAVM) is notorious for its aberrant blood flow between the pulmonary arteries and veins. Herein, we report a case of a 4-year-old toddler who had a unique form of pulmonary hypertension presenting with cor triatriatum sinister and diffuse PAVM. After the surgical treatment of cor triatriatum sinister, both pulmonary arteriovenous malformation and pulmonary hypertension disappeared.

scholarly journals Surgical repair of a giant congenital left atrial aneurysm presenting with respiratory distress in a neonate

2021 ◽  
Author(s):  
Alwaleed Al-Dairy ◽  
hazem aljasem ◽  
Samir Srour
Keyword(s):  
Respiratory Distress ◽  
Left Atrial ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Cardiac Anomaly ◽  
Severe Respiratory Distress ◽  
Congenital Cardiac Anomaly ◽  
Distress Symptoms ◽  
Congenital Origin ◽  
Neonates And Infants

Congenital left atrial aneurysm is a very rare congenital cardiac anomaly, and very few cases have been reported with neonatal presentation. Despite the congenital origin of this condition, it may remain asymptomatic and patients may not present until their third decade of life. Even in asymptomatic cases, prompt surgical intervention is indicated for the prevention of fatal thromboembolic events such as stroke. In neonates and infants presenting early in life, surgical intervention is urgent to relieve respiratory distress symptoms. Herein, we introduce the case of a 3-week-old neonate who presented with severe respiratory distress symptoms requiring prompt intubation and mechanical ventilation. Diagnosis of congenital left atrial aneurysm was established and confirmed by transthoracic echocardiography and computed tomography angiography. The patient underwent surgical resection of the aneurysm using cardiopulmonary bypass and cardiac arrest. The patient was discharged from the hospital after three weeks with normal echocardiography.

Truncus Arteriosus With Double Aortic Arch

2020 ◽  
Vol 11 (4) ◽  
pp. 507-508
Author(s):  
Mrinal Patel ◽  
Vishal Agrawal ◽  
Vaibhav Jain ◽  
Bhavik Langanecha ◽  
Amit Mishra
Keyword(s):  
Aortic Arch ◽  
Double Aortic Arch ◽  
Truncus Arteriosus ◽  
Cardiac Anomaly ◽  
Rare Occurrence ◽  
High Association ◽  
Congenital Cardiac Anomaly ◽  
Common Arterial Trunk ◽  
Arterial Trunk ◽  
Aortic Arch Interruption

Truncus arteriosus (TA) or common arterial trunk is a congenital cardiac anomaly having high association with arch anomalies such as right aortic arch or aortic arch interruption. However, TA with double aortic arch (DAA) is a rare occurrence. We report a case of TA with DAA where the diagnosis of DAA was missed initially.

scholarly journals Type A4 truncus arteriosus: series of 3 cases focused on dual source multidetector CT angiogram findings

2021 ◽  
Vol 10 (1) ◽  
pp. 257
Author(s):  
Amit Kumar Verma ◽  
Anil Rawat ◽  
Siddharth Mishra ◽  
Nitin Arun Dikshit
Keyword(s):  
Septal Defect ◽  
Multidetector Ct ◽  
Adult Life ◽  
Truncus Arteriosus ◽  
Cardiac Anomaly ◽  
Congenital Cardiac Anomaly ◽  
Ct Angiogram ◽  
Dual Source ◽  
Aortic Interruption ◽  
Variable Presentation

Truncus arteriosus (TA) is a rare congenital cardiac anomaly caused by failure of normal conotruncal septation during the fetal development. This aberration leads to a common ventricular outflow artery over the malaligned large ventricular septal defect (VSD), supplying systemic, coronary and pulmonary circulation. People with such anomalous anatomy show variable presentation from early childhood to adult life depending on the severity of defects. We here present three cases of truncus arteriosus with aortic interruption / hypoplasia-coarctation (type A4 truncus arteriosus) with focus on relevant dual source MDCTA findings.

Abstract 14920: Predictors of Adverse Outcomes Following Elective Ascending Aortic Aneurysm Repair: A Nationwide Cohort Study

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Sebastian E Beyer ◽  
Kamal R Khabbaz ◽  
Alec Schmaier ◽  
Eric A Secemsky ◽  
Brett Carroll
Keyword(s):  
Aortic Aneurysm ◽  
Hospital Mortality ◽  
Surgical Intervention ◽  
Adverse Outcomes ◽  
Complication Rates ◽  
Probit Regression ◽  
Ascending Aortic Aneurysm ◽  
Procedural Volume ◽  
Elective Repair ◽  
Secondary Outcomes

Introduction: Elective surgical intervention for ascending aortic aneurysm (AA) is performed when the risk of a future aortic catastrophe outweighs the risk of surgery; however, the data of complication rates following elective repair are limited. Methods: We analyzed adults >18 years of age hospitalized for elective ascending AA surgical intervention in the 2016 and 2017 Nationwide Readmissions Databases. The primary outcome was in-hospital mortality. Secondary outcomes were acute ischemic stroke (AIS), acute myocardial infarction (AMI) and non-elective 30-day readmission. Bayesian lasso probit regression models were used to identify independent predictors of primary and secondary outcomes. Results: Among 4,073 patients hospitalized for elective surgical repair, 28.9% were female. Mean age was 63.0 ± 12.4 years. Concomitant aortic valve surgery was performed in 67%. Overall, 72 (1.8%) died during the initial hospitalization (Figure A). Predictors of in-hospital mortality are shown in Figure B. Of patients alive at discharge, 482 (11.8%) were readmitted within 30 days, with a mortality rate of 2.3% during readmission. Predictors of non-elective 30-day readmission included non-urban localization (Change in probability: 32.5%, 21.7 - 45.7%), chronic liver disease (18.1%, 11.4 - 27.0%), and chronic neurological disorder (15.9%, 12.1 - 20.1%). Main causes of readmissions were arrythmias (20.3%), procedural complications (14.5%), and peri-, endo-, or myocarditis (9.3%). While procedural volume varied between one and 68 procedures / institution, it was not associated with in-hospital mortality, AIS, AMI, or 30-day readmission (p>0.05 for all). Conclusions: One in 25 patients will have a significant complication or die following elective ascending aortic repair and 1 in 8 will be readmitted within 30 days. The risk of surgery compared to the risk of a future aortic catastrophe should be thoroughly assessed prior to recommendation of an ascending AA repair.

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