Common arterial trunk

2020 ◽  
pp. 303-312
Author(s):  
Justin T Tretter ◽  
Tarek Alsaied ◽  
Andrew N Redington
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Clinical Presentation ◽  
Surgical Repair ◽  
Anatomical Variation ◽  
Repair Strategy ◽  
Common Presentation ◽  
Common Arterial Trunk ◽  
Arterial Trunk

Common arterial trunk, or truncus arteriosus, is a rare form of congenital heart disease defined by the presence of an arterial trunk which arises from the ventricular mass through a common ventriculo-arterial junction and gives rise to the systemic, pulmonary, and coronary circulations. The anatomical variation and associated cardiac anomalies dictate the clinical presentation and specific surgical repair strategy. This chapter reviews a common presentation of a newborn with common arterial trunk, serving as the basis for discussion of the anatomical variation, physiology, resulting clinical presentation and preoperative management, surgical repair strategy, and outcomes.

Dimensions of the pulmonary arteries in rat fetuses with congenital heart disease

1994 ◽  
Vol 4 (3) ◽  
pp. 291-297
Author(s):  
Kazuo Momma ◽  
Masahiko Ando ◽  
Masaaki Yoshigi
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pulmonary Artery ◽  
Tetralogy Of Fallot ◽  
Congenital Heart ◽  
Pulmonary Arteries ◽  
Common Arterial Trunk ◽  
Arterial Trunk ◽  
Right Pulmonary Artery ◽  
The Right

AbstractSo as to understand better the pathogenesis of enlargement or hypoplasia of pulmonary arteries in congenital heart disease, we studied the dimensions of the pulmonary arteries in 74 fetuses with congenital heart disease induced by administration of bis-diamine to pregnant rats. The congenital malformations induced included 12 with large ventricular septal defect, 17 with tetralogy of Fallot, 15 with tetralogy together with severe valvar pulmonary stenosis and absence of the arterial duct, 17 with tetralogy with absent pulmonary valve syndrome and absence of the arterial duct, and 13 with common arterial trunk with a confluent segment supplying the pulmonary arteries. For comparison, 16 fetuses of the same gestational age with normal hearts were studied. After rapid whole-body freezing on the 21st day of gestation, the fetuses were studied by means of serial cross-sectional photographs of the thorax. The diameter of the right pulmonary artery of the fetus was of comparable dimensions in the normal hearts (480±10 µm) (mean±SEM), those with ventricular septal defects (470±10 µm), common arterial trunk (520±20 µm), and tetralogy of Fallot (500±10 µm). These findings suggest that the commonly observed enlargement of the right pulmonary artery in patients with ventricular septal defect and common arterial trunk, and hypoplasia of the right pulmonary artery in tetralogy of Fallot, occur postnatally in response to abnormal postnatal pulmonary blood flow.

Arrhythmia management in patients with a common arterial trunk and d-transposition of the great arteries

2012 ◽  
Vol 22 (6) ◽  
pp. 748-754 ◽  
Author(s):  
Jamie A. Decker ◽  
Jorge McCormack ◽  
Mitchell I. Cohen
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Significant Morbidity ◽  
Non Invasive ◽  
Common Arterial Trunk ◽  
Arterial Trunk ◽  
Residual Lesions ◽  
Disease Present ◽  
Arrhythmia Management

AbstractArrhythmias in patients with congenital heart disease present a challenge to the care of these patients and can result in significant morbidity and mortality. Transposition of the great arteries and common arterial trunk are no exceptions. It is important to identify risk factors for arrhythmia development in the peri-operative period. The peri-operative arrhythmia burden may relate to the underlying congenital heart disease, haemodynamic perturbations, operative events, and potential residual lesions. In addition, these patients are at risk for developing arrhythmias later in life, and non-invasive and potentially invasive arrhythmia surveillance should be a routine part of the care of these patients. This article highlights important strategies to manage arrhythmia development and prevention in this patient population.

Acyanotic Truncus Arteriosus: Not a Misnomer But a True Rarity

2021 ◽  
pp. 215013512110003
Author(s):  
Subramanian Chellappan ◽  
Krishna Manohar ◽  
Yogesh Sathe ◽  
Rakesh Pandey ◽  
Radha Joshi ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Truncus Arteriosus ◽  
Common Arterial Trunk ◽  
Arterial Trunk ◽  
Successful Repair ◽  
Artery Conduit

Truncus arteriosus, also referred to as common arterial trunk (CAT), is generally classified as a cyanotic congenital heart disease characterized by a single arterial trunk arising from the heart and supplying both pulmonary and systemic circulations. Cyanosis exists by virtue of it being an admixture lesion. We report a 13-year-old boy diagnosed to have type 1 CAT who was acyanotic at presentation and had all features of an operable lesion even at this age. He underwent a successful repair with closure of the subtruncal VSD and insertion of a hand-sewn valved right ventricle-to-pulmonary artery conduit made of bovine pericardium and Gore-Tex membrane.

Adult congenital heart disease

2020 ◽  
pp. 225-254
Author(s):  
Andrew Hilton
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Anatomical Variation ◽  
Critically Ill Patient ◽  
Crista Terminalis ◽  
Echocardiographic Examination ◽  
Adult Congenital ◽  
The Right

The prevalence of congenital heart disease (CHD) in adults is increasing and many of these are likely to be admitted to the intensive care unit (ICU). Some of these patients may have undiagnosed CHD, usually relatively simple lesions such as atrial and ventricular septal defects. Occasionally, these may be more complex lesions (e.g. Ebstein’s anomaly) that even if unrecognized earlier in life can still allow survival into adulthood. Whether simple or complex, CHD can complicate the management of the critically ill patient, particularly if shunting or heart failure is present. The critical care echocardiographer is required to both recognize both normal anatomical variation and definite abnormal structural abnormalities in the adult patient. The aim of this chapter is to familiarize the echocardiographer with common anatomical variants, such as remnants of the right valve of the sinus venosus and crista terminalis, and present a careful and systematic approach to echocardiographic examination that may reliably identify relatively simple undiagnosed CHD in the adult.

Acute coronary artery obstruction following surgical repair of congenital heart disease

2020 ◽  
Vol 159 (5) ◽  
pp. 1957-1965.e1 ◽  
Author(s):  
Michael P. Goldsmith ◽  
Catherine K. Allan ◽  
Ryan Callahan ◽  
Aditya K. Kaza ◽  
Douglas Y. Mah ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Coronary Artery ◽  
Congenital Heart ◽  
Surgical Repair ◽  
Artery Obstruction

Amiodarone-Induced Thyrotoxicosis in Adults with Congenital Heart Disease - Clinical Presentation and Response to Therapy

2014 ◽  
Vol 20 (1) ◽  
pp. 33-40 ◽  
Author(s):  
Marius Stan ◽  
Matheni Sathananthan ◽  
Carole Warnes ◽  
Michael Brennan ◽  
Prabin Thapa ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Clinical Presentation ◽  
Response To Therapy

Dissecting aneurysm of the pulmonary arteries—an unusual complication of congenital heart disease

1994 ◽  
Vol 4 (2) ◽  
pp. 131-135
Author(s):  
Thomas M. Farrell ◽  
Carol M. Cottrill ◽  
William N. O'Connor ◽  
Dede Boucher ◽  
Jacqueline A. Noonan
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Pulmonary Arteries ◽  
Dissecting Aneurysm ◽  
Unusual Complication ◽  
Arterial Aneurysm ◽  
Pulmonary Arterial

SummaryDissection of a pulmonary arterial aneurysm due to underlying pulmonary hypertension from congenital heart disease is uniformly fatal, but fortunately rare. Two such cases are presented, along with review of 24 other known cases published in the literature. Clinical presentation, guidelines tomanagement, and possible surgical intervention in the acutely dissecting patient are discussed.

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