Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-28T07:01:17.788Z Has data issue: false hasContentIssue false

Surgery for common arterial trunk*

Published online by Cambridge University Press:  18 January 2013

Paul J. Chai*
Affiliation:
Johns Hopkins Children's Heart Surgery, All Children's Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, Florida, United States of America
Jeffrey P. Jacobs
Affiliation:
Johns Hopkins Children's Heart Surgery, All Children's Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, Florida, United States of America
James A. Quintessenza
Affiliation:
Johns Hopkins Children's Heart Surgery, All Children's Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, Florida, United States of America
*
Corresponding author: P. J. Chai, MD, Johns Hopkins Children's Heart Surgery, All Children's Hospital and Florida Hospital for Children, 625 Sixth Avenue South, Suite 475, Saint Petersburg, Florida 33701, United States of America. Tel: (727) 767 - 6666; Fax: (727) 767 - 8606; E-mail: [email protected]

Abstract

Surgery for common arterial trunk has evolved over the past 30 years. Current management involves total repair during the neonatal period with excellent expected results. The presence of truncal valve insufficiency or interrupted aortic arch may increase the surgical risk for morbidity and mortality. Current therapy and management continues to evolve.

Type
Original Article
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, St. Petersburg, Florida.

References

1. Ebert, PA, Turley, K, Stanger, P, Hoffman, JI, Heymann, MA, Rudolph, AM. Surgical treatment of truncus arteriosus in the first 6 months of life. Ann surg 1984; 200: 451456.CrossRefGoogle ScholarPubMed
2. Bove, EL, Lupinetti, FM, Pridjian, AK, et al. Results of a policy of primary repair of truncus arteriosus in the neonate. J Thorac Cardiovasc Surg 1993; 105: 10571065; discussion 1065-1056.CrossRefGoogle ScholarPubMed
3. Hanley, FL, Heinemann, MK, Jonas, RA, et al. Repair of truncus arteriosus in the neonate. J Thorac Cardiovasc Surg 1993; 105: 10471056.CrossRefGoogle ScholarPubMed
4. Thompson, LD, McElhinney, DB, Reddy, M, Petrossian, E, Silverman, NH, Hanley, FL. Neonatal repair of truncus arteriosus: continuing improvement in outcomes. Ann Thorac Surg 2001; 72: 391395.CrossRefGoogle ScholarPubMed
5. Jahangiri, M, Zurakowski, D, Mayer, JE, del Nido, PJ, Jonas, RA. Repair of the truncal valve and associated interrupted arch in neonates with truncus arteriosus. J Thorac Cardiovasc Surg 2000; 119: 508514.CrossRefGoogle ScholarPubMed
6. Rajasinghe, HA, McElhinney, DB, Reddy, VM, Mora, BN, Hanley, FL. Long-term follow-up of truncus arteriosus repaired in infancy: a twenty-year experience. J Thorac Cardiovasc Surg 1997; 113: 869878; discussion 878-869.CrossRefGoogle ScholarPubMed
7. Di Donato, RM, Fyfe, DA, Puga, FJ, et al. Fifteen-year experience with surgical repair of truncus arteriosus. J Thorac Cardiovasc Surg 1985; 89: 414422.CrossRefGoogle ScholarPubMed
8. Bove, EL, Mosca, RS. Lessons learned in truncus arteriosus surgery. Adv Card Surg 1995; 6: 91101.Google ScholarPubMed
9. Kaza, AK, Burch, PT, Pinto, N, Minich, LL, Tani, LY, Hawkins, JA. Durability of truncal valve repair. Ann Thorac Surg 2010; 90: 13071312; discussion 1312.CrossRefGoogle ScholarPubMed
10. Russell, HM, Pasquali, SK, Jacobs, JP, et al. Outcomes of repair of common arterial trunk with truncal valve surgery: a review of the Society of Thoracic Surgeons Congenital Heart Surgery Database. Ann Thorac Surg 2012; 93: 164169; discussion 169.CrossRefGoogle Scholar
11. Kalavrouziotis, G, Purohit, M, Ciotti, G, Corno, AF, Pozzi, M. Truncus arteriosus communis: early and midterm results of early primary repair. Ann Thorac Surg 2006; 82: 22002206.CrossRefGoogle ScholarPubMed
12. Danton, MH, Barron, DJ, Stumper, O, et al. Repair of truncus arteriosus: a considered approach to right ventricular outflow tract reconstruction. Eur J Cardiothorac Surg 2001; 20: 95103; discussion 103-104.CrossRefGoogle ScholarPubMed
13. Perron, J, Moran, AM, Gauvreau, K, del Nido, PJ, Mayer, JE Jr, Jonas, RA. Valved homograft conduit repair of the right heart in early infancy. Ann Thorac Surg 1999; 68: 542548.CrossRefGoogle ScholarPubMed
14. Chen, JM, Glickstein, JS, Davies, RR, et al. The effect of repair technique on postoperative right-sided obstruction in patients with truncus arteriosus. J Thorac Cardiovasc Surg 2005; 129: 559568.CrossRefGoogle ScholarPubMed
15. Lacour-Gayet, F, Serraf, A, Komiya, T, et al. Truncus arteriosus repair: influence of techniques of right ventricular outflow tract reconstruction. J Thorac Cardiovasc Surg 1996; 111: 849856.CrossRefGoogle ScholarPubMed
16. Behrendt, DM, Dick, M III. Truncus repair with a valveless conduit in neonates. J Thorac Cardiovasc Surg 1995; 110: 11481150.CrossRefGoogle ScholarPubMed
17. 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: 214222.CrossRefGoogle ScholarPubMed
18. Bohuta, L, Hussein, A, Fricke, TA, et al. Surgical repair of truncus arteriosus associated with interrupted aortic arch: long-term outcomes. Ann Thorac Surg 2011; 91: 14731477.CrossRefGoogle ScholarPubMed
19. Lacour-Gayet, F, Serraf, A, Galletti, L, et al. Biventricular repair of conotruncal anomalies associated with aortic arch obstruction: 103 patients. Circulation 1997; 96: II-328–II-334.Google ScholarPubMed
20. Henaine, R, Azarnoush, K, Belli, E, et al. Fate of the truncal valve in truncus arteriosus. Ann Thorac Surg 2008; 85: 172178.CrossRefGoogle ScholarPubMed

Chai Supplementary Material

Movie

Download Chai Supplementary Material(Video)
Video 105.2 MB