Skip to main content
SpringerLink
Log in

Truncus Arteriosus

  • Living reference work entry
  • First Online:
Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care

  • 40 Accesses

Abstract

Truncus Arteriosus is a rare congenital anomaly that is characterized by a single great vessel arising from the heart giving rise to both the systemic and pulmonary circulations in a variety of configurations. The embryologic origins involve abnormal neural crest cell migration which is linked to Tbx proteins, which themselves are encoded on the chromosome 22q11 creating a close link to patients with DiGeorge Syndrome. Untreated, Truncus Arteriosus is a fatal condition, which requires early surgical intervention for optimal outcomes. Diagnosis is done by echocardiogram and is focused on describing the anatomy in detail, as well as identifying associated abnormalities. Surgical repair is standardized in general, with numerous details and nuances that are important for executing a safe and efficient repair, especially when additional abnormalities are identified. Postoperative care in the ICU centers around maintaining cardiac output and managing the effects of residual defects, truncal insufficiency, arrhythmias, or pulmonary hypertension. Results in the current era are excellent for straightforward Truncus and less so for those with complex associated anomalies. Late complications are related to truncal insufficiency and reoperation for conduit replacement.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Calder L, Van Praagh R, Van Praagh S, Sears WP, Corwin R, Levy A, Keith JD, Paul MH (1976) Truncus arteriosus communis. Clinical, angiocardiographic, and pathologic findings in 100 patients. Am Heart J 92:23–38

    Article  CAS  PubMed  Google Scholar 

  2. Tandon R, Hauck AJ, Nadas AS (1963) Persistent truncus arteriosus. A clinical, hemodynamic, and autopsy study of nineteen cases. Circulation 28:1050–1060

    Article  CAS  PubMed  Google Scholar 

  3. Van Praagh R, Van Praagh S (1965) The anatomy of common aorticopulmonary trunk (truncus arteriosus communis) and its embryologic implications. A study of 57 necropsy cases. Am J Cardiol 16:406–425

    Article  PubMed  Google Scholar 

  4. Kirby ML, Gale TF, Stewart DE (1983) Neural crest cells contribute to normal aorticopulmonary septation. Science 220:1059–1061

    Article  CAS  PubMed  Google Scholar 

  5. Mesbah K, Harrelson Z, Theveniau-Ruissy M, Papaioannou VE, Kelly RG (2008) Tbx3 is required for outflow tract development. Circ Res 103:743–750

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Bradshaw L, Chaudhry B, Hildreth V, Webb S, Henderson DJ (2009) Dual role for neural crest cells during outflow tract septation in the neural crest-deficient mutant Splotch(2H). J Anat 214:245–257

    Article  PubMed  PubMed Central  Google Scholar 

  7. Scambler PJ (2000) The 22q11 deletion syndromes. Hum Mol Genet 9:2421–2426

    Article  CAS  PubMed  Google Scholar 

  8. Momma K (2010) Cardiovascular anomalies associated with chromosome 22q11.2 deletion syndrome. Am J Cardiol 105:1617–1624

    Article  CAS  PubMed  Google Scholar 

  9. McElhinney DB, Driscoll DA, Emanuel BS, Goldmuntz E (2003) Chromosome 22q11 deletion in patients with truncus arteriosus. Pediatr Cardiol 24:569–573

    Article  CAS  PubMed  Google Scholar 

  10. Alsoufi B, McCracken C, Shashidharan S, Deshpande S, Kanter K, Kogon B (2017) The impact of 22q11.2 deletion syndrome on surgical repair outcomes of conotruncal cardiac anomalies. Ann Thorac Surg 104:1597–1604

    Article  PubMed  Google Scholar 

  11. Lindsay EA, Vitelli F, Su H, Morishima M, Huynh T, Pramparo T, Jurecic V, Ogunrinu G, Sutherland HF, Scambler PJ, Bradley A, Baldini A (2001) Tbx1 haploinsufficieny in the digeorge syndrome region causes aortic arch defects in mice. Nature 410:97–101

    Article  CAS  PubMed  Google Scholar 

  12. Merscher S, Funke B, Epstein JA, Heyer J, Puech A, Lu MM, Xavier RJ, Demay MB, Russell RG, Factor S, Tokooya K, Jore BS, Lopez M, Pandita RK, Lia M, Carrion D, Xu H, Schorle H, Kobler JB, Scambler P, Wynshaw-Boris A, Skoultchi AI, Morrow BE, Kucherlapati R (2001) Tbx1 is responsible for cardiovascular defects in velo-cardio-facial/digeorge syndrome. Cell 104:619–629

    Article  CAS  PubMed  Google Scholar 

  13. Parisot P, Mesbah K, Theveniau-Ruissy M, Kelly RG (2011) Tbx1, subpulmonary myocardium and conotruncal congenital heart defects. Birth Defects Res A Clin Mol Teratol 91:477–484

    Article  CAS  PubMed  Google Scholar 

  14. Calmont A, Ivins S, Van Bueren KL, Papangeli I, Kyriakopoulou V, Andrews WD, Martin JF, Moon AM, Illingworth EA, Basson MA, Scambler PJ (2009) Tbx1 controls cardiac neural crest cell migration during arch artery development by regulating Gbx2 expression in the pharyngeal ectoderm. Development 136:3173–3183

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Lin L, Cui L, Zhou W, Dufort D, Zhang X, Cai CL, Bu L, Yang L, Martin J, Kemler R, Rosenfeld MG, Chen J, Evans SM (2007) Beta-catenin directly regulates Islet1 expression in cardiovascular progenitors and is required for multiple aspects of cardiogenesis. Proc Natl Acad Sci U S A 104:9313–9318

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Goddeeris MM, Schwartz R, Klingensmith J, Meyers EN (2007) Independent requirements for hedgehog signaling by both the anterior heart field and neural crest cells for outflow tract development. Development 134:1593–1604

    Article  CAS  PubMed  Google Scholar 

  17. Hoffmann AD, Peterson MA, Friedland-Little JM, Anderson SA, Moskowitz IP (2009) Sonic hedgehog is required in pulmonary endoderm for atrial septation. Development 136:1761–1770

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Huang RT, Wang J, Xue S, Qiu XB, Shi HY, Li RG, Qu XK, Yang XX, Liu H, Li N, Li YJ, Xu YJ, Yang YQ (2017) Tbx20 loss-of-function mutation responsible for familial tetralogy of fallot or sporadic persistent truncus arteriosus. Int J Med Sci 14:323–332

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Marcelletti C, McGoon DC, Mair DD (1976) The natural history of truncus arteriosus. Circulation 54:108–111

    Article  CAS  PubMed  Google Scholar 

  20. Williams JM, de Leeuw M, Black MD, Freedom RM, Williams WG, McCrindle BW (1999) Factors associated with outcomes of persistent truncus arteriosus. J Am Coll Cardiol 34:545–553

    Article  CAS  PubMed  Google Scholar 

  21. Duke C, Sharland GK, Jones AM, Simpson JM (2001) Echocardiographic features and outcome of truncus arteriosus diagnosed during fetal life. Am J Cardiol 88:1379–1384

    Article  CAS  PubMed  Google Scholar 

  22. Lenox CC, Debich DE, Zuberbuhler JR (1992) The role of coronary artery abnormalities in the prognosis of truncus arteriosus. J Thorac Cardiovasc Surg 104:1728–1742

    Article  CAS  PubMed  Google Scholar 

  23. Hicken P, Evans D, Heath D (1966) Persistent truncus arteriosus with survival to the age of 38 years. Br Heart J 28:284–286

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Abid D, Daoud E, Ben Kahla S, Mallek S, Abid L, Fourati H, Mnif Z, Kammoun S (2015) Unrepaired persistent truncus arteriosus in a 38-year-old woman with an uneventful pregnancy. Cardiovasc J Afr 26:e6–e8

    Article  PubMed  PubMed Central  Google Scholar 

  25. Ginelliova A, Farkas D, Iannaccone SF (2015) Truncus arteriosus communis with survival to the age of 46 years: case report. Soud Lek 60:37–39

    PubMed  Google Scholar 

  26. Zampi G, Celestini A, Benvissuto F, Scrimieri P, Pergolini A, Ortenzi M, Pofi E, Sommariva L (2016) An unrepaired persistent truncus arteriosus in a 62-year-old adult. J Cardiovasc Med 17(Suppl 2):e124–e125

    Article  Google Scholar 

  27. Colon M, Anderson RH, Weinberg P, Mussatto K, Bove E, Friedman AH (2008) Anatomy, morphogenesis, diagnosis, management, and outcomes for neonates with common arterial trunk. Cardiol Young 18(Suppl 3):52–62

    Article  PubMed  Google Scholar 

  28. Rudolph AM (2009) Congenital diseases of the heart: clinical–physiological considerations. Wiley-Blackwell, Chichester/Hoboken

    Book  Google Scholar 

  29. Bogers AJ, Bartelings MM, Bokenkamp R, Stijnen T, van Suylen RJ, Poelmann RE, Gittenberger-de Groot AC (1993) Common arterial trunk, uncommon coronary arterial anatomy. J Thorac Cardiovasc Surg 106:1133–1137

    Article  CAS  PubMed  Google Scholar 

  30. Bohuta L, Hussein A, Fricke TA, d’Udekem Y, Bennett M, Brizard C, Konstantinov IE (2011) Surgical repair of truncus arteriosus associated with interrupted aortic arch: long-term outcomes. Ann Thorac Surg 91:1473–1477

    Article  PubMed  Google Scholar 

  31. Collett RW, Edwards JE (1949) Persistent truncus arteriosus; a classification according to anatomic types. Surg Clin North Am 29:1245–1270

    Article  CAS  PubMed  Google Scholar 

  32. Russell HM, Pasquali SK, Jacobs JP, Jacobs ML, O’Brien SM, Mavroudis C, Backer CL (2012) 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 93:164–169. (Discussion 169)

    Article  PubMed  Google Scholar 

  33. Russell HM, Jacobs ML, Anderson RH, Mavroudis C, Spicer D, Corcrain E, Backer CL (2011) A simplified categorization for common arterial trunk. J Thorac Cardiovasc Surg 141:645–653

    Article  PubMed  Google Scholar 

  34. Shrivastava S, Edwards JE (1977) Coronary arterial origin in persistent truncus arteriosus. Circulation 55:551–554

    Article  CAS  PubMed  Google Scholar 

  35. Bharati S, McAllister HA Jr, Rosenquist GC, Miller RA, Tatooles CJ, Lev M (1974) The surgical anatomy of truncus arteriosus communis. J Thorac Cardiovasc Surg 67:501–510

    Article  CAS  PubMed  Google Scholar 

  36. Oddens JR, Bogers AJ, Witsenburg M, Bartelings MM, Bos E (1994) Anatomy of the proximal coronary arteries as a risk factor in primary repair of common arterial trunk. J Cardiovasc Surg 35:295–299

    CAS  Google Scholar 

  37. Chaudhari M, Hamilton L, Hasan A (2006) Correction of coronary arterial anomalies at surgical repair of common arterial trunk with ischaemic left ventricular dysfunction. Cardiol Young 16:179–181

    Article  PubMed  Google Scholar 

  38. Anderson KR, McGoon DC, Lie JT (1978) Surgical significance of the coronary arterial anatomy in truncus arteriosus communis. Am J Cardiol 41:76–81

    Article  CAS  PubMed  Google Scholar 

  39. Mir A, Burkhart HM, Ponniah K, Ward K (2018) Intramural coronary artery in truncus arteriosus: importance of preoperative echocardiographic diagnosis and impact on surgical planning. World J Pediatr Congenit Heart Surg 9:368–370

    Article  PubMed  Google Scholar 

  40. Hussein N, Speggiorin S, Bu’Lock F, Corno AF (2018) Intramural left coronary artery in truncus arteriosus. World J Pediatr Congenit Heart Surg 9:117–120

    Article  PubMed  Google Scholar 

  41. Thiene G, Bortolotti U, Gallucci V, Terribile V, Pellegrino PA (1976) Anatomical study of truncus arteriousus communis with embryological and surgical considerations. Br Heart J 38:1109–1123

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Rosenquist GC, Bharati S, McAllister HA, Lev M (1976) Truncus arteriosus communis: truncal valve anomalies associated with small conal or truncal septal defects. Am J Cardiol 37:410–412

    Article  CAS  PubMed  Google Scholar 

  43. Naimo PS, Fricke TA, d’Udekem Y, Brink J, Weintraub RG, Brizard CP, Konstantinov IE (2018) Impact of truncal valve surgery on the outcomes of the truncus arteriosus repair. Eur J Cardiothorac Surg 54:524–531

    Article  PubMed  Google Scholar 

  44. Patrick WL, Mainwaring RD, Carrillo SA, Ma M, Reinhartz O, Petrossian E, Selamet Tierney ES, Reddy VM, Hanley FL (2016) Anatomic factors associated with truncal valve insufficiency and the need for truncal valve repair. World J Pediatr Congenit Heart Surg 7:9–15

    Article  PubMed  Google Scholar 

  45. Butto F, Lucas RV Jr, Edwards JE (1986) Persistent truncus arteriosus: pathologic anatomy in 54 cases. Pediatr Cardiol 7:95–101

    Article  CAS  PubMed  Google Scholar 

  46. Bove EL, Lupinetti FM, Pridjian AK, Beekman RH III, Callow LB, Snider AR, Rosenthal A (1993) Results of a policy of primary repair of truncus arteriosus in the neonate. J Thorac Cardiovasc Surg 105:1057–1065. (Discussion 1065–1066)

    Article  CAS  PubMed  Google Scholar 

  47. Thompson LD, McElhinney DB, Reddy M, Petrossian E, Silverman NH, Hanley FL (2001) Neonatal repair of truncus arteriosus: continuing improvement in outcomes. Ann Thorac Surg 72:391–395

    Article  CAS  PubMed  Google Scholar 

  48. Lim DS, Kulik TJ, Kim DW, Charpie JR, Crowley DC, Maher KO (2003) Aminophylline for the prevention of apnea during prostaglandin E1 infusion. Pediatrics 112:e27–e29

    Article  CAS  PubMed  Google Scholar 

  49. Bibevski S, Ruzmetov M, Fortuna RS, Turrentine MW, Brown JW, Ohye RG (2017) Performance of synergraft decellularized pulmonary allografts compared with standard cryopreserved allografts: results from multiinstitutional data. Ann Thorac Surg 103:869–874

    Article  PubMed  Google Scholar 

  50. Shih T, Gurney JG, Bove EL, Devaney EJ, Hirsch JC, Ohye RG (2010) Performance of bicuspidized pulmonary allografts compared with standard trileaflet allografts. Ann Thorac Surg 90:610–613

    Article  PubMed  Google Scholar 

  51. Sfyridis PG, Avramidis DP, Kirvassilis GV, Zavaropoulos PN, Papagiannis JK, Sarris GE (2011) The Contegra® valved heterograft conduit for right ventricular outflow tract reconstruction: a reliable solution. Hell J Cardiol 52:501–508

    Google Scholar 

  52. Urso S, Rega F, Meuris B, Gewillig M, Eyskens B, Daenen W, Heying R, Meyns B (2011) The contegra conduit in the right ventricular outflow tract is an independent risk factor for graft replacement. Eur J Cardiothorac Surg 40:603–609

    PubMed  Google Scholar 

  53. Christenson JT, Sierra J, Colina Manzano NE, Jolou J, Beghetti M, Kalangos A (2010) Homografts and xenografts for right ventricular outflow tract reconstruction: long-term results. Ann Thorac Surg 90:1287–1293

    Article  PubMed  Google Scholar 

  54. Hawkins JA, Kouretas PC, Holubkov R, Williams RV, Tani LY, Su JT, Lambert LM, Mart CR, Puchalski MD, Minich LL (2007) Intermediate-term results of repair for aortic, neoaortic, and truncal valve insufficiency in children. J Thorac Cardiovasc Surg 133:1311–1317

    Article  PubMed  Google Scholar 

  55. Mavroudis C, Backer CL (2001) Surgical management of severe truncal insufficiency: experience with truncal valve remodeling techniques. Ann Thorac Surg 72:396–400

    Article  CAS  PubMed  Google Scholar 

  56. Bahrami S, Mitropoulos F, Leong F, Levi DS, Laks H, Plunkett MD (2009) Truncal valve repair in neonates using pericardial leaflet extension. Congenit Heart Dis 4:281–283

    Article  PubMed  Google Scholar 

  57. Bouhout I, El-Hamamsy I, Raboisson MJ, Poirier N (2017) Bicuspization of a quadricuspid truncal valve. Multimed Man Cardiothorac Surg. https://doi.org/10.1510/mmcts.2017.002. PMID: 28106971

  58. Wei LY, Chen YS, Chiu IS, Huang SC (2018) Repair of a quadricuspid truncal valve by tricuspidization and reconstruction of right ventricular outflow tract with the excised truncal cusp. J Thorac Cardiovasc Surg 155:1186–1189

    Article  PubMed  Google Scholar 

  59. Kozik DJ, Tweddell JS (2006) Characterizing the inflammatory response to cardiopulmonary bypass in children. Ann Thorac Surg 81:S2347–S2354

    Article  PubMed  Google Scholar 

  60. Hoffman TM, Wernovsky G, Atz AM, Kulik TJ, Nelson DP, Chang AC, Bailey JM, Akbary A, Kocsis JF, Kaczmarek R, Spray TL, Wessel DL (2003) Efficacy and safety of milrinone in preventing low cardiac output syndrome in infants and children after corrective surgery for congenital heart disease. Circulation 107:996–1002

    Article  CAS  PubMed  Google Scholar 

  61. Seguchi M, Harding JA, Jarmakani JM (1986) Developmental change in the function of sarcoplasmic reticulum. J Mol Cell Cardiol 18:189–195

    Article  CAS  PubMed  Google Scholar 

  62. Gajarski RJ, Stefanelli CB, Graziano JN, Kaciroti N, Charpie JR, Vazquez D (2010) Adrenocortical response in infants undergoing cardiac surgery with cardiopulmonary bypass and circulatory arrest. Pediatr Crit Care Med 11:44–51

    Article  PubMed  Google Scholar 

  63. Grosse-Wortmann L, Kreitz S, Grabitz RG, Vazquez-Jimenez JF, Messmer BJ, von Bernuth G, Seghaye MC (2010) Prevalence of and risk factors for perioperative arrhythmias in neonates and children after cardiopulmonary bypass: continuous holter monitoring before and for three days after surgery. J Cardiothorac Surg 5:85

    Article  PubMed  PubMed Central  Google Scholar 

  64. Nichols DG (2006) Critical heart disease in infants and children. Mosby, Philadelphia

    Google Scholar 

  65. Leopold C, De Barros A, Cellier C, Drouin-Garraud V, Dehesdin D, Marie JP (2012) Laryngeal abnormalities are frequent in the 22q11 deletion syndrome. Int J Pediatr Otorhinolaryngol 76:36–40

    Article  CAS  PubMed  Google Scholar 

  66. Huang RY, Shapiro NL (2000) Structural airway anomalies in patients with digeorge syndrome: a current review. Am J Otolaryngol 21:326–330

    Article  CAS  PubMed  Google Scholar 

  67. Sullivan KE, Jawad AF, Randall P, Driscoll DA, Emanuel BS, McDonald-McGinn DM, Zackai EH (1998) Lack of correlation between impaired t cell production, immunodeficiency, and other phenotypic features in chromosome 22q11.2 deletion syndromes. Clin Immunol Immunopathol 86:141–146

    Article  CAS  PubMed  Google Scholar 

  68. Jatana V, Gillis J, Webster BH, Ades LC (2007) Deletion 22q11.2 syndrome – implications for the intensive care physician. Pediatr Crit Care Med 8:459–463. (Quiz 464)

    Article  PubMed  Google Scholar 

  69. Marcelletti C, McGoon DC, Danielson GK, Wallace RB, Mair DD (1977) Early and late results of surgical repair of truncus arteriosus. Circulation 55:636–641

    Article  CAS  PubMed  Google Scholar 

  70. Appelbaum A, Bargeron LM Jr, Pacifico AD, Kirklin JW (1976) Surgical treatment of truncus arteriosus, with emphasis on infants and small children. J Thorac Cardiovasc Surg 71:436–440

    Article  CAS  PubMed  Google Scholar 

  71. Stark J, Gandhi D, de Leval M, Macartney F, Taylor JF (1978) Surgical treatment of persistent truncus arteriosus in the first year of life. Br Heart J 40:1280–1287

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  72. Parenzan L, Crupi G, Alfieri O, Bianchi T, Vanini V, Locatelli G, Tiraboschi R, Di Benedetto G, Villani M, Annecchino FP, Ferrazzi P (1980) Surgical repair of persistent truncus arteriosus in infancy. Thorac Cardiovasc Surg 28:18–20

    Article  CAS  PubMed  Google Scholar 

  73. Bove EL, Beekman RH, Snider AR, Callow LB, Underhill DJ, Rocchini AP, Dick M II, Rosenthal A (1989) Repair of truncus arteriosus in the neonate and young infant. Ann Thorac Surg 47:499–505. (Discussion 506)

    Article  CAS  PubMed  Google Scholar 

  74. Pearl JM, Laks H, Drinkwater DC Jr, Loo DK, George BL, Williams RG (1992) Repair of conotruncal abnormalities with the use of the valved conduit: improved early and midterm results with the cryopreserved homograft. J Am Coll Cardiol 20:191–196

    Article  CAS  PubMed  Google Scholar 

  75. Hanley FL, Heinemann MK, Jonas RA, Mayer JE Jr, Cook NR, Wessel DL, Castaneda AR (1993) Repair of truncus arteriosus in the neonate. J Thorac Cardiovasc Surg 105:1047–1056

    Article  CAS  PubMed  Google Scholar 

  76. Rajasinghe HA, McElhinney DB, Reddy VM, Mora BN, Hanley FL (1997) Long-term follow-up of truncus arteriosus repaired in infancy: a twenty-year experience. J Thorac Cardiovasc Surg 113:869–878. (Discussion 878–879)

    Article  CAS  PubMed  Google Scholar 

  77. Naimo PS, Fricke TA, Yong MS, d’Udekem Y, Kelly A, Radford DJ, Bullock A, Weintraub RG, Brizard CP, Konstantinov IE (2016) Outcomes of truncus arteriosus repair in children: 35 years of experience from a single institution. Semin Thorac Cardiovasc Surg 28:500–511

    Article  PubMed  Google Scholar 

  78. Tlaskal T, Chaloupecky V, Hucin B, Gebauer R, Krupickova S, Reich O, Skovranek J, Tax P (2010) Long-term results after correction of persistent truncus arteriosus in 83 patients. Eur J Cardiothorac Surg 37:1278–1284

    Article  PubMed  Google Scholar 

  79. Henaine R, Azarnoush K, Belli E, Capderou A, Roussin R, Planche C, Serraf A (2008) Fate of the truncal valve in truncus arteriosus. Ann Thorac Surg 85:172–178

    Article  PubMed  Google Scholar 

  80. Chen Q, Gao H, Hua Z, Yang K, Yan J, Zhang H, Ma K, Zhang S, Qi L, Li S (2016) Outcomes of surgical repair for persistent truncus arteriosus from neonates to adults: a single center’s experience. PLoS One 11:e0146800

    Article  PubMed  PubMed Central  Google Scholar 

  81. Asagai S, Inai K, Shinohara T, Tomimatsu H, Ishii T, Sugiyama H, Park IS, Nagashima M, Nakanishi T (2016) Long-term outcomes after truncus arteriosus repair: a single-center experience for more than 40 years. Congenit Heart Dis 11:672–677

    Article  PubMed  Google Scholar 

  82. Nemoto S, Ozawa H, Sasaki T, Katsumata T, Kishi K, Okumura K, Mori Y (2011) Repair of persistent truncus arteriosus without a conduit: sleeve resection of the pulmonary trunk from the aorta and direct right ventricle-pulmonary artery anastomosis. Eur J Cardiothorac Surg 40:563–568

    PubMed  Google Scholar 

  83. Lecompte Y, Neveux JY, Leca F, Zannini L, Tu TV, Duboys Y, Jarreau MM (1982) Reconstruction of the pulmonary outflow tract without prosthetic conduit. J Thorac Cardiovasc Surg 84:727–733

    Article  CAS  PubMed  Google Scholar 

  84. Barbero-Marcial M, Tanamati C (1999) Alternative nonvalved techniques for repair of truncus arteriosus: long-term results. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2:121–130

    Article  PubMed  Google Scholar 

  85. Barbero-Marcial M, Riso A, Atik E, Jatene A (1990) A technique for correction of truncus arteriosus types i and ii without extracardiac conduits. J Thorac Cardiovasc Surg 99:364–369

    Article  CAS  PubMed  Google Scholar 

  86. Urban AE, Sinzobahamvya N, Brecher AM, Wetter J, Malorny S (1998) Truncus arteriosus: ten-year experience with homograft repair in neonates and infants. Ann Thorac Surg 66:S183–S188

    Article  CAS  PubMed  Google Scholar 

  87. Lacour-Gayet F, Serraf A, Komiya T, Sousa-Uva M, Bruniaux J, Touchot A, Roux D, Neuville P, Planche C (1996) Truncus arteriosus repair: influence of techniques of right ventricular outflow tract reconstruction. J Thorac Cardiovasc Surg 111:849–856

    Article  CAS  PubMed  Google Scholar 

  88. Brown JW, Ruzmetov M, Okada Y, Vijay P, Turrentine MW (2001) Truncus arteriosus repair: outcomes, risk factors, reoperation and management. Eur J Cardiothorac Surg 20:221–227

    Article  CAS  PubMed  Google Scholar 

  89. Bernier PL, Hallbergson A, Schachtner SK, Rome JJ, Gaynor JW (2014) Aortopulmonary fistula after outflow tract stent in repaired truncus. Ann Thorac Surg 98:e55–e57

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Pediatric and Congenital Heart Surgery-Heart Institute, Joe DiMaggio Children’s Hospital, Hollywood, FL, USA

    Steve Bibevski

  2. Division of Pediatric Cardiology, Department of Pediatrics and Communicable Disease, University of Michigan Medical School, Ann Arbor, MI, USA

    Joshua Friedland-Little & Michael Gaies

  3. Department of Cardiac Surgery, The University of Michigan, Ann Arbor, MI, USA

    Richard G. Ohye

Authors
  1. Steve Bibevski
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Joshua Friedland-Little
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michael Gaies
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Richard G. Ohye
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Richard G. Ohye .

Editor information

Editors and Affiliations

  1. Children’s Hospital Colorado University of Colorado Denver, School of, Aurora, CO, USA

    Eduardo M. da Cruz

  2. Children's Hospital Colorado University of Colorado School of Medicin, Aurora, CO, USA

    Dunbar Ivy

  3. Department of Cardiac Surgery, German Pediatric Heart Center, Sankt Augustin, Germany

    Viktor Hraska

  4. Pediatric Cardiac Surgery, Children's Hospital Colorado University of Colorado, Aurora, CO, USA

    James Jaggers

Section Editor information

  1. The Heart Institute, Department of Pediatrics, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA

    Eduardo M. da Cruz

  2. The Heart Institute, Pediatric Cardiac Surgery, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA

    James Jaggers

  3. Cardiothoracic Surgery, University of Colorado School of Medicine The Children’s Hospital Pediatrics, Aurora, CO, USA

    James Jaggers

  4. Dept. Pediatric Cardiology, Children's Hospital Colorado, Univ. of Colorado, Denver, Aurora, Colorado, USA

    Dunbar Ivy

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer-Verlag London Ltd., part of Springer Nature

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Bibevski, S., Friedland-Little, J., Gaies, M., Ohye, R.G. (2021). Truncus Arteriosus. In: da Cruz, E.M., Ivy, D., Hraska, V., Jaggers, J. (eds) Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care. Springer, London. https://doi.org/10.1007/978-1-4471-4999-6_48-2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4999-6_48-2

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4999-6

  • Online ISBN: 978-1-4471-4999-6

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation