Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-28T11:08:06.021Z Has data issue: false hasContentIssue false
  • English
  • Français

Rationalising the nomenclature of common arterial trunk*

Published online by Cambridge University Press:  18 January 2013

Marshall L. Jacobs  and
Robert H. Anderson
Marshall L. Jacobs*
Affiliation:
Department of Pediatric and Congenital Heart Surgery, Cleveland Clinic, Cleveland, Ohio, United States of America
Robert H. Anderson
Affiliation:
Institute of Genetic Medicine, Newcastle University, Newcastle-upon-Tyne, United Kingdom
*
Correspondence to: Dr M. L. Jacobs, MD, Department of Pediatric and Congenital Heart Surgery, Cleveland Clinic, 6019 Goshen Road, Newtown Square, Pennsylvania 19073, United States of America. Tel: 216 444 8912; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Hearts having a common arterial trunk belong to a family of congenital cardiac malformations for which traditional systems of classification and nomenclature are plagued by internal paradoxes, incompatibility between systems due to the lack of potential for identification of synonyms, or irreconcilable inconsistencies with our current knowledge of cardiac development and morphology. A simplified categorisation that classifies these hearts on the basis of pulmonary or aortic dominance reconciles the existing disparate categorisations, is in keeping with recent findings concerning cardiac development, and emphasises the principal morphologic determinant of surgical outcome.

Keywords

Persistent truncus arteriosuscommon aorticopulmonary trunkaortic dominancepulmonary dominance
Type
Original Article
Information
Cardiology in the Young , Volume 22 , Issue 6: A Lifelong Interdisciplinary Approach to Common Arterial Trunk, Transposition of the Great Arteries, and Other Evolving Challenges in Paediatric and Congenital Cardiac Disease , December 2012 , pp. 639 - 646
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Presented at: 12th Annual International Symposium on Congenital Heart Disease, February 17–21, 2012, All Children's Hospital, Saint Petersburg, Florida, United States of America.

References

1. Gaynor, JW, Jacobs, JP, Jacobs, ML, et al. Congenital heart surgery nomenclature and database project: update and proposed data harvest. Ann Thorac Surg 2002; 73: 1016–1018.CrossRefGoogle ScholarPubMed
2. Franklin, RC, Franklin, RC. The European Paediatric Cardiac Code: the first revision. Cardiol Young 2000; 10 (Suppl 1): 27–146.CrossRefGoogle Scholar
3. http://www.ipccc.net/, accessed September 3, 2012.Google Scholar
4. Franklin, RC, Jacobs, JP, Krogmann, ON, et al. Nomenclature for congenital and paediatric cardiac disease: historical perspectives and The International Pediatric and Congenital Cardiac Code. Cardiol Young 2008; 18 (Suppl 2): 70–80.CrossRefGoogle ScholarPubMed
5. Vierordt, H. Die angeborenen Herzkrankheiten; Unvollständige Theilung und einseitige Umbildung des primären Truncus arteriosus (in German). Specielle Pathologie und Therapie 1898; 15: 132–138.Google Scholar
6. Collett, RW, Edwards, JE. Persistent truncus arteriosus: a classification according to anatomic types. Surg Clin North Am 1949; 29: 1245–1269.Google Scholar
7. Lev, M, Saphir, A. Truncus arteriosus communis persistens. J Pediatr 1942; 20: 74.CrossRefGoogle Scholar
8. Kramer, TC. The partitioning of the truncus and conus and the formation of the membranous portion of the interventricular septum in the human heart. Am J Anat 1942; 71: 343–370.Google Scholar
9. Van Praagh, R, Van Praagh, S. The anatomy of common aorticopulmonary trunk (truncus arteriosus communis) and its embryologic implications. a study of 57 necropsy cases. Am J Cardiol 1965; 16: 406–425.Google Scholar
10. Calder, L, Van Praagh, R, Van Praagh, S, et al. Truncus arteriosus communis. Clinical, angiocardiographic, and pathologic findings in 100 patients. Am Heart J 1976; 92: 23–38.CrossRefGoogle ScholarPubMed
11. Jacobs, ML. Congenital heart surgery nomenclature and database project: truncus arteriosus. Ann Thorac Surg 2000; 69: S50–S55.Google Scholar
12. Van Praagh, R. Truncus arteriosus. Eur J Cardiothorac Surg 1987; 1: 65–70.CrossRefGoogle ScholarPubMed
13. Konstantinov, IE, Karamlou, T, Blackstone, EH, et al. Truncus arteriosus associated with interrupted aortic arch in 50 neonates: a Congenital Heart Surgeons Society Study. Ann Thorac Surg 2006; 81: 214–222.Google Scholar
14. Russell, HM, Jacobs, ML, Anderson, RH, et al. A simplified categorization for common arterial trunk. J Thorac Cardiovasc Surg 2011; 141: 645–653.Google Scholar
15. Carr, I, Bharati, S, Kusnoor, VS, Lev, M. Truncus arteriosus communis with intact ventricular septum. Br Heart J 1979; 42: 97–102.Google Scholar
16. Anderson, RH, Chaudhry, B, Mohun, TJ, et al. Normal and abnormal development of the intrapericardial arterial trunks in man and mouse. Cardiovasc Res 2012; 95: 108–115.Google Scholar
17. O'Brien, SM, Clarke, DR, Jacobs, JP, et al. An empirically based tool for analyzing mortality associated with congenital heart surgery. J Thorac Cardiovasc Surg 2009; 138: 1139–1153.CrossRefGoogle ScholarPubMed
18. Jacobs, ML, O'Brien, SM, Jacobs, JP, et al. An empirically based tool for analyzing morbidity associated with operations for congenital heart disease. J Thorac Cardiovasc Surg 2012, Jul 24 [Epub ahead of print].Google Scholar