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.

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.  

Fatal disseminated paradoxical embolism in inferior sinus venosus atrial septal defect

2021 ◽  
Vol 3 (4) ◽  
pp. 1-6
Author(s):  
Zul Khairul Azwadi Ismail ◽  
Khairil Amir Sayuti ◽  
Mohd Shafie Abdullah
Keyword(s):  
Septal Defect ◽  
Incidental Finding ◽  
Transoesophageal Echocardiography ◽  
Systemic Circulation ◽  
Paradoxical Embolism ◽  
Sinus Venosus ◽  
Cardiac Anomaly ◽  
Limb Ischaemia ◽  
Congenital Cardiac Anomaly ◽  
Acute Limb Ischaemia

Inferior sinus venosus arterial septal defect (ASD) is a rare congenital cardiac anomaly. As with other types of ASDs and patent foramen ovale (PFO), this defect results in arteri-venous shunting with the risk of developing paradoxical embolism (PDE) to the systemic circulation from venous emboli. We report  a case of a 67-year-old lady presented to emergency department (ED) with massive pulmonary embolism (PE) and recurrent acute limb ischaemia. On CT pulmonary angiography (CTPA), an incidental finding of inferior sinus venosus ASD was discovered that has caused the PDE. Thrombolysis was administered followed by open mechanical thrombectomy. The patient developed massive lower gastrointestinal bleed post thrombolysis then passed away despite embolization. This case report describes the catastrophic effect of  PDE to cause disseminated multisystem thromboembolism. It also emphasizes the importance of early detection of a possible right-to-left shunt in patients presented with recurrent acute limb ischaemia. Transthoracic echocardiography has reduced sensitivity for inferior sinus venosus ASD requiring further assessment with transoesophageal echocardiography in selected cases.

Totally Endoscopic Robotic Correction of Cor Triatriatum Sinister Coexisting with Atrial Septal Defect

2016 ◽  
Vol 11 (6) ◽  
pp. 451-452 ◽  
Author(s):  
Changqing Gao ◽  
Ming Yang ◽  
Cangsong Xiao ◽  
Huajun Zhang ◽  
Gang Wang
Keyword(s):  
Surgical Technique ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Cor Triatriatum ◽  
Cardiac Anomaly ◽  
Safe Alternative ◽  
Congenital Cardiac Anomaly ◽  
Cor Triatriatum Sinister ◽  
Da Vinci Si ◽  
Surgical System

Cor triatriatum sinister (CTS) is a rare congenital cardiac anomaly and is mainly corrected through conventional surgery through sternotomy. We described our successful novel surgical technique of totally robotic correction of CTS in one case of CTS with concomitant repair of atrial septal defect using da Vinci SI Surgical System (Intuitive Surgical, Inc, Sunnyvale, CA USA) with excellent surgical outcome. We conclude that robotic correction of CTS is a feasible and safe alternative to conventional surgical technique.

scholarly journals A case report of an elderly male with isolated coronary sinus atrial septal defect

2021 ◽  
Vol 5 (5) ◽  
Author(s):  
Junko Okamoto ◽  
Shinji Fukuhara ◽  
Hideki Ozawa ◽  
Takahiro Katsumata
Keyword(s):  
Elderly Patients ◽  
Atrial Septal Defect ◽  
Coronary Sinus ◽  
Septal Defect ◽  
Superior Vena ◽  
Vena Cava ◽  
Cardiac Anomaly ◽  
Elderly Male ◽  
Direct Closure ◽  
Congenital Cardiac Anomaly

Abstract Background Isolated coronary sinus atrial septal defect (CSASD) is a rare congenital cardiac anomaly, comprising <1% of atrial septal defects. Elderly patients with this anomaly are even more uncommon and sometimes overlooked. Case summary A 73-year-old man with a history of electrical defibrillation therapy for atrial flutter presented with worsening exertional dyspnoea. Cardiac examination revealed CSASD without persistent left superior vena cava, showing only moderate tricuspid regurgitation. Surgical repair of the defect and regurgitant valve improved symptoms dramatically. Discussion Elderly patients with atrial arrhythmias might show uncommon presentations of congenital heart disease. Cardiologists should pay attention to enlarged right ventricle, pulmonary artery, and, in particular, enlarged coronary sinus. Direct closure with interrupted sutures secured with pledgets is effective in some case of terminal type of CSASD.

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 Cor Triloculare Biventriculare with Ventricular Septal Defect: Prenatal Diagnosis

2015 ◽  
Vol 6 (1) ◽  
pp. 40-42
Author(s):  
Ravi Nirmalkumar Rajdeo ◽  
Kishor Taori ◽  
Jawahar Rathod ◽  
Nekee Navin Sejpal
Keyword(s):  
Prenatal Diagnosis ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Congenital Abnormalities ◽  
Superior Vena ◽  
Vena Cava ◽  
Interatrial Septum ◽  
Cardiac Anomaly ◽  
Congenital Cardiac Anomaly ◽  
Ellis Van Creveld Syndrome

ABSTRACT Cor triloculare biventriculare is a very rare congenital cardiac anomaly in which there is complete absence of interatrial septum resulting in three-chambered heart. It can be associated with various other congenital abnormalities like ventricular septal defect, polysplenia, Ellis-van creveld syndrome or persistent left-sided superior vena cava. Here we report a case of antenatal diagnosis common atrium and ventricular septal defect in a fetus of average gestational age of 29 weeks in a primigravida. How to cite this article Rajdeo RN, Taori K, Rathod J, Sejpal NN. Cor Triloculare Biventriculare with Ventricular Septal Defect: Prenatal Diagnosis. Int J Infertil Fetal Med 2015;6(1):40-42.

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.

Prenatal Diagnosis and Outcome of Congenital Corrected Transposition of the Great Arteries – A Multicenter Report of 69 Cases

2020 ◽  
Author(s):  
Carina Nina Vorisek ◽  
Christian Enzensberger ◽  
Steven Willomeit ◽  
Andrii Kurkevych ◽  
Rüdiger Stessig ◽  
...  
Keyword(s):  
Septal Defect ◽  
Fetal Echocardiography ◽  
Cardiac Anomaly ◽  
Chromosomal Anomalies ◽  
Term Outcome ◽  
Congenital Cardiac Anomaly ◽  
Intention To Treat ◽  
The Mean ◽  
International Multicenter ◽  
Corrected Transposition

Abstract Objective Congenital corrected transposition of the great arteries (ccTGA) is a rare congenital cardiac anomaly which remains difficult to diagnose prenatally. We aim to investigate the natural history, associated anomalies and the outcome of patients in prenatally diagnosed ccTGA. Method This was an international multicenter retrospective analysis of fetuses with a diagnosis of ccTGA from 2002 to 2017. We reviewed clinical and echocardiographic databases of seven centers. Anatomic survey and fetal echocardiography were performed according to international guidelines of ISUOG. Results We considered 69 fetuses with prenatally suspected ccTGA. There was an overall survival rate of 91 % among 54 patients with a confirmed diagnosis. Survival to live birth was 96 % (52/54) and survival on an intention-to-treat basis was 94 % (49/52). The mean gestational age at the time of diagnosis was 25.6 ± 5.9 weeks of gestation. In 7 out of 54 fetuses (13 %), ccTGA was an isolated finding. Dextro/mesocardia was present in 15 cases (27.8 %). Intracardiac anomalies were present in 46/54 cases (85.2 %) with the most frequent anomaly being a ventricular septal defect present in 41 fetuses (75.9 %). Complete heart block was diagnosed in 10 cases (18.5 %). Extracardiac anomalies were observed in 9 out of 54 cases (16.7 %). Prenatal karyotyping of the fetus was available in 30/54 (55.6 %) cases with chromosomal anomalies in 4/30 (13.3 %). Conclusion ccTGA is a rare cardiac anomaly often accompanied by a variable spectrum of further intracardiac abnormalities. Accurate diagnosis of ccTGA, which can be integrated into parental counselling, is feasible with a favorable short-term outcome for affected neonates.

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