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.  

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 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 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.

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.

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.

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.

scholarly journals Early Neonatal Cyanosis as a Presentation of a Rare Cardiac Anomaly: Truncus Arteriosus Type IV

2021 ◽  
pp. 1-4
Author(s):  
Amjad Mohamed Haider ◽  
Ammar M.H. Shehadeh ◽  
Rola Mohamed Alfarra
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Coming Out ◽  
Congenital Heart ◽  
Truncus Arteriosus ◽  
Cardiac Anomaly ◽  
Common Trunk ◽  
Type Iv ◽  
Congenital Heart Anomaly ◽  
Blalock Taussig Shunt

Truncus arteriosus (TA) is a rare congenital heart anomaly presenting with mild cyanosis and congestive heart failure. It occurs when the blood vessels coming out of the heart in the developing baby fail to separate completely during development, leaving a common trunk responsible for the pulmonary and systemic perfusion. There are several variants of TA, depending on the specific anatomy and arterial connection. We report a case of a full-term newborn who developed cyanosis and desaturation during the first day of life. Investigations and echocardiography were consistent with TA type IV. Prostaglandin infusion was immediately started, and then, a successful palliative right modified Blalock Taussig shunt was performed.

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