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Truncus arteriosus with retrograde aortic flow: a unique case

Published online by Cambridge University Press:  14 January 2020

Matthew A. Solomon
Affiliation:
Department of Pediatric Cardiology, Stead Family Children’s Hospital, University of Iowa, Iowa City, IA, USA
Bijoy Thattaliyath
Affiliation:
Department of Pediatric Cardiology, Stead Family Children’s Hospital, University of Iowa, Iowa City, IA, USA
Ravi Ashwath*
Affiliation:
Department of Pediatric Cardiology, Stead Family Children’s Hospital, University of Iowa, Iowa City, IA, USA
*
Author for correspondence: R. Ashwath, Pediatric Cardiology, Stead Family Children’s Hospital, University of Iowa, 200 Hawkins Dr, Iowa City, IA 52242, USA. Tel: +1-319-356-3537; Fax: +1-319-384-6955; E-mail: [email protected]

Abstract

Truncus arteriosus is a rare cyanotic congenital heart defect that involves septation failure of the heart’s main arterial outflow tract. Varying morphologies of the truncal valve and aorta have been reported; however, the ascending aorta is typically supplied via anterograde blood flow through the truncal valve. We present the first reported case of neonatal truncus arteriosus with the ascending aorta being supplied entirely by retrograde flow.

Type
Brief Report
Copyright
© Cambridge University Press 2020

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References

Parker, SE, Mai, CT, Canfield, MA, et al.Updated national birth prevalence estimates for selected birth defects in the United States, 2004–2006. National Birth Defects Prevention Network. Birth Defects Res A Clin Mol Teratol 2010; 88: 10081016.10.1002/bdra.20735CrossRefGoogle Scholar
Van Praagh, R, Van Praagh, S.The anatomy of common aorticopulmonary trunk (truncus areteriosus communis) and its embryologic implications. A study of 57 necropsy cases. Am J Cardiol 1965; 16: 406425.CrossRefGoogle Scholar
Collett, RW, Edwards, JE.Persistent truncus arteriosus; a classification according to anatomic types. Surg Clin North Am 1949; 29: 12451269.10.1016/S0039-6109(16)32803-1CrossRefGoogle ScholarPubMed
Collins-Nakai, R, McLaughlin, P.How congenital heart disease originates in fetal life. Cardiol Clin 2002; 20: 367383.10.1016/S0733-8651(02)00008-5CrossRefGoogle ScholarPubMed
Calder, L, Van Praagh, RV, Van Praagh, S, et al.Clinical, angiocardiographic, and pathologic findings in 100 patients Am Heart J 1976; 2: 2338.CrossRefGoogle Scholar
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: 214222.10.1016/j.athoracsur.2005.06.072CrossRefGoogle ScholarPubMed
Butto, F, Lucas, RV, Edwards, JE. Persistent truncus arteriosus: pathologic anatomy in 54 cases. Pediatric Cardiol 1986; 7: 95101.CrossRefGoogle ScholarPubMed
Alboliras, ET, Lombardo, S, Antillon, JN. Truncus arteriosus with double aortic arch: two-dimensional and color flow Doppler echocardiographic diagnosis. Am Heart J 1995; 129: 415417.10.1016/0002-8703(95)90030-6CrossRefGoogle ScholarPubMed
Mello, DM, McElhinney, DB, Parry, AJ, Silverman, NH, Hanley, FL.Truncus arteriosus with patent ductus arteriosus and normal aortic arch. Annals Thorac Surg 1997; 64: 18081810.10.1016/S0003-4975(97)01152-1CrossRefGoogle ScholarPubMed
Tongsong, T, Sirichotiyakul, S, Sukpan, K, Sittiwangkul, R.Prenatal features of a truncus arteriosus with pulmonary atresia and pulmonary circulation derived from the ductus arteriosus. J Ultrasound Med 2004; 23: 12211224.CrossRefGoogle ScholarPubMed