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 Multiple congenital cardiovascular defects including type IV persistent truncus arteriosus in a Shetland pony – Short communication

2016 ◽  
Vol 64 (3) ◽  
pp. 360-364 ◽  
Author(s):  
Marian Taulescu ◽  
Chiara Palmieri ◽  
Joshua Leach ◽  
Andras Nagy ◽  
Ciprian Ober ◽  
...  
Keyword(s):  
Ventricular Hypertrophy ◽  
Septal Defect ◽  
Short Communication ◽  
Pulmonary Arteries ◽  
Clinical Signs ◽  
Truncus Arteriosus ◽  
Persistent Truncus Arteriosus ◽  
Descending Aorta ◽  
Type Iv ◽  
Cardiovascular Defects

This case report describes the pathological findings of multiple congenital cardiac defects in a 2-year-old female Shetland pony with clinical signs of chronic respiratory distress. Persistent truncus arteriosus (PTA) type IV, interventricular septal defect, overriding aorta, pulmonary trunk agenesis, pulmonary arteries arising from the descending aorta, and compensatory right ventricular hypertrophy were observed.

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.  

Solitary arterial trunk

1994 ◽  
Vol 4 (1) ◽  
pp. 71-74
Author(s):  
Daniel J. Penny ◽  
Rakesh Dua ◽  
James L. Wilkinson
Keyword(s):  
Ventricular Septal Defect ◽  
Tetralogy Of Fallot ◽  
Septal Defect ◽  
Pulmonary Arteries ◽  
Pulmonary Atresia ◽  
Pulmonary Trunk ◽  
Descending Aorta ◽  
Perimembranous Ventricular Septal Defect ◽  
Arterial Trunk ◽  
Pulmonary Arterial

AbstractA heart is described in which there was a solitary arterial trunk that exited from the heart astride a large perimembranous ventricular septal defect, with the pulmonary arterial supply originating entirely from collaterals from the descending aorta. There was no evidence of either hilar pulmonary arteries or an atretic pulmonary trunk. The morphology of the ventricular outlet component, with absence of the outlet septum supports the description of this heart as solitary arterial trunk, rather than tetralogy of Fallot with pulmonary atresia.

scholarly journals Truncus Arteriosus Type 1: A Prenatal Diagnosis, Case Report, and Literature Review

2021 ◽  
Vol 9 (2) ◽  
pp. 153-158
Author(s):  
Alireza Golbabaei ◽  
◽  
Sara Memarian ◽  
Mahsa Naemi ◽  
Azade Rastgar ◽  
...  
Keyword(s):  
Main Pulmonary Artery ◽  
Pulmonary Arteries ◽  
Ventricular Outflow Tract ◽  
Truncus Arteriosus ◽  
Persistent Truncus Arteriosus ◽  
Common Arterial Trunk ◽  
Arterial Trunk ◽  
The Right ◽  
Congenital Heart Anomaly

Common arterial trunk (persistent truncus arteriosus) is a rare, congenital heart anomaly and characterized by Ventricular Septal Defect (VSD), single truncal valve, and a common ventricular outflow tract. We reported a case of truncus arteriosus type 1 in the fetus of a 28 years-old G2-P1-L1 pregnant female at 24 weeks of gestational age with large sub truncul VSD, truncal overriding, and main pulmonary artery bifurcation to the right and left pulmonary arteries.

Persistent Truncus Arteriosus in a Dog

1972 ◽  
Vol 9 (5) ◽  
pp. 379-383 ◽  
Author(s):  
H. C. Chen ◽  
P. Bussian ◽  
J. E. Whitehead
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Bronchial Artery ◽  
Truncus Arteriosus ◽  
Type I ◽  
Cardiac Murmur ◽  
Persistent Truncus Arteriosus ◽  
Type Iv ◽  
The Right ◽  
Cardiovascular Anomalies

A 5-week-old male mixed terrier with persistent truncus arteriosus had a grade IV cardiac murmur. Cardiovascular anomalies noted at necropsy included ventricular septal defect in addition to complete persistent truncus arteriosus. The latter originated from the right ventricle and served as an aorta, also providing aortic branches that included a modified bronchial artery. This malformation closely resembled type IV persistent truncus arteriosus in humans, however, anatomically it should be classified as type I because of a patent small hypoplastic pulmonary artery.

Successful Staged Repair for Truncus Arteriosus With Anomalous Arch Vessels and Left Coronary Artery

2019 ◽  
Vol 10 (5) ◽  
pp. 643-644
Author(s):  
Yoshikazu Ono ◽  
Takaya Hoashi ◽  
Kenichi Kurosaki ◽  
Hajime Ichikawa
Keyword(s):  
Coronary Artery ◽  
Carotid Artery ◽  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Left Coronary Artery ◽  
Septal Defect ◽  
Pulmonary Arteries ◽  
Truncus Arteriosus ◽  
The Right

A patient was born with truncus arteriosus type 2, left aortic arch, anomalous origin of arch vessels, left coronary artery from the right common carotid artery, and multiple extracardiac anomalies. Surgery involving translocation of the left coronary artery to the truncal root, division of branch pulmonary arteries from the truncal artery, and right ventricle-to-branch pulmonary arteries conduit placement was performed at the age of four months. Closure of the ventricular septal defect using a one-way fenestrated patch and conduit upsizing was performed successfully when the patient reached four years of age.

scholarly journals An unusual and rare form of truncus arteriosus in an asymptomatic woman

Ultrasound ◽  
2017 ◽  
Vol 25 (4) ◽  
pp. 251-254
Author(s):  
Maryam Nabati
Keyword(s):  
Pulmonary Arteries ◽  
Great Artery ◽  
Truncus Arteriosus ◽  
Cardiac Malformation ◽  
Rare Form ◽  
Persistent Truncus Arteriosus ◽  
Congenital Cardiac Malformation ◽  
Pulmonary Arterial ◽  
One Year ◽  
Severe Pulmonary Arterial Hypertension

Persistent truncus arteriosus is a rare congenital cardiac malformation. It is characterized by a single great artery arising from the heart which supplies the aorta, the origin of coronary arteries and pulmonary arteries. Without surgery, prognosis is poor and 90% of these patients die before one year of age. We report a rare case of an asymptomatic 35-year-old woman with uncorrected persistent truncus arteriosus and hypoplastic right and left pulmonary arteries. Hypoplastic branch pulmonary arteries prevented the development of severe pulmonary arterial hypertension.

Accuracy of Fetal Echocardiography in the Differential Diagnosis between Truncus Arteriosus and Pulmonary Atresia with Ventricular Septal Defect

2015 ◽  
Vol 39 (2) ◽  
pp. 90-99 ◽  
Author(s):  
Olga Gómez ◽  
Iris Soveral ◽  
Mar Bennasar ◽  
Fatima Crispi ◽  
Narcis Masoller ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Fetal Echocardiography ◽  
Ductus Arteriosus ◽  
Pulmonary Atresia ◽  
Image Correlation ◽  
Truncus Arteriosus ◽  
Chromosomal Anomalies ◽  
Collateral Arteries ◽  
Arterial Trunk

Objectives: To report on the accuracy of fetal echocardiography in the distinction between truncus arteriosus communis (CAT) and pulmonary atresia with ventricular septal defect (PA-VSD) and to describe the association with extracardiac and chromosomal anomalies. Methods: This was a retrospective study on 31 fetuses with a single arterial trunk overriding a VSD with a nonidentifiable right ventricle outflow tract with anterograde flow. Data on the type of cardiac defect, gestational age, characteristics of the arterial trunk valve, presence of additional vascular, chromosomal and extracardiac abnormalities and postnatal outcome were obtained. Misdiagnosed cases were reevaluated by four-dimensional spatiotemporal image correlation (4D-STIC) echocardiography. Results: The overall diagnostic accuracy was 81% and increased to 93.5% with 4D-STIC. Chromosomal and extracardiac anomalies were detected in 40 and 27%, respectively. In the PA-VSD group, patent ductus arteriosus and major aortopulmonary collateral arteries (MAPCAs) were present in 70 and 50% of the cases, respectively, coexisting in 1 of 5 cases. MAPCAs were significantly associated with a right aortic arch and with a 22q11 microdeletion in 50% of cases. Conclusions: A prenatal distinction between CAT and PA-VSD can currently be achieved in most cases. MAPCAs should be actively searched for when PA-VSD is suspected, as they are associated with a higher risk of 22q11 microdeletion and potentially complicate postnatal treatment.

scholarly journals The possibilities of computed tomography heart-axis-oriented multiplanar reformations in diagnostics of common arterial trunk

2018 ◽  
Vol 20 (1) ◽  
pp. 132-138
Author(s):  
G K Sadykova ◽  
I S Zheleznyak ◽  
V V Ipatov ◽  
V V Ryazanov
Keyword(s):  
Computed Tomography ◽  
Right Ventricle ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Pulmonary Arteries ◽  
Common Trunk ◽  
Congenital Heart Diseases ◽  
Common Arterial Trunk ◽  
Arterial Trunk ◽  
Multiplanar Reformations

The possibility of using multiplanar reformations oriented on the axis of heart in diagnosing the common arterial trunk with X-ray computed tomography is substantiated. Examination data of 140 patients aged 1-19 days of life, 3030-3890 g body weight with conotruncal congenital heart diseases was analyzed, and common arterial trunk was detected in 7 patients (4 - boys, 3 - girls). In 5 (72%) patients, it developed mainly from the morphological right ventricle, 1 (14%) - completely from the morphologically right ventricle, and 1 more (14%) - evenly located above the ventricles. In four (57%) cases, the trunk valve had three leaflets, in two (28,5%) cases - two, in one (14,5%) case - four. All the patients had mitral-semilunar fibrous prolongation, intraventricular septal defects, doubled coronary arteries system, and the pulmonary arteries had their origin from ascendant part of common trunk. Pulmonary arteries had also their own common trunk in 4 (57%) cases, separate estuary in 3 (43%) cases. Aortic arc abnormalities included dextral aortic arc (2 cases), discontinuity of aortic arc (1 case), discontinuity of fourth aortic arc with persistence of fifth left aortic arc (2 cases). In general, computed tomographic angiocardiography heart-axis-oriented multiplanar reformations permit full and correct assessment of heart and main vessels, which is important for surgical treatment planning in congenital heart diseases.

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