Truncus arteriosus with meandering pulmonary arteries

Atypical truncus arteriosus

Authors

Keywords:

truncus arteriosus, pulmonary artery, classification, surgical treatment

Abstract

Truncus arteriosus is a rare, cyanotic, and congenital heart defect occurring due to failure in the differentiation of the aorta and the pulmonary artery during fetal development. The disease is categorized into four sub-categories in the Van Praagh and Collett & Edwards classification systems according to the origin of the pulmonary arteries. Surgical correction of the pulmonary arteries and repair of the ventricular septal defect is the preferred treatment strategy of choice; this intervention is required early in life. Here, we report a four-month-old baby with truncus arteriosus consisting of atypical pulmonary anatomy undefined by either the Van Praagh or the Collett & Edwards classification systems who underwent successful corrective surgery.

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References

McGoon DC, Rastelli GC, Ongley PA. An operation for the correction of truncus arteriosus. JAMA. 1968 Jul 8;205(2):69-73. PMID: 4872743. DOI: https://doi.org/10.1001/jama.205.2.69

Ugurlucan M, Sayin OA, Surmen B, Sungur Z, Tireli E, Dayioglu E. Rastelli and Norwood combination for the treatment of type I truncus arteriosus and hypoplastic aortic arch: a case report. Heart Surg Forum. 2007;10(1):E6-8. doi: 10.1532/HSF98.20061141. PMID: 17162406. DOI: https://doi.org/10.1532/HSF98.20061141

Sojak V, Lugo J, Koolbergen D, Hazekamp M. Surgery for truncus arteriosus. Multimed Man Cardiothorac Surg. 2012 Jan 1;2012:mms011. doi: 10.1093/mmcts/mms011. PMID: 24414715. DOI: https://doi.org/10.1093/mmcts/mms011

Potter A, Pearce K, Hilmy N. The benefits of echocardiography in primary care. Br J Gen Pract. 2019 Jul;69(684):358-359. doi: 10.3399/bjgp19X704513. PMID: 31249096; PMCID: PMC6592347. DOI: https://doi.org/10.3399/bjgp19X704513

COLLETT RW, EDWARDS JE. Persistent truncus arteriosus; a classification according to anatomic types. Surg Clin North Am. 1949 Aug;29(4):1245-70. doi: 10.1016/s0039-6109(16)32803-1. PMID: 18141293.

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 Sep;16(3):406-25. doi: 10.1016/0002-9149(65)90732-0. PMID: 5828135. DOI: https://doi.org/10.1016/0002-9149(65)90732-0

Collett RW, Edwards JE. Persistent truncus arteriosus: a classification according to anatomic types. Surg Clin North Am. 1949 Aug;29(4):1245-70. doi: 10.1016/s0039-6109(16)32803-1. PMID: 18141293. DOI: https://doi.org/10.1016/S0039-6109(16)32803-1

Martínez-Quintana E, Portela-Torrón F. Truncus arteriosus and truncal valve regurgitation. Transl Pediatr. 2019 Dec;8(5):360-362. doi: 10.21037/tp.2019.02.01. PMID: 31993347; PMCID: PMC6970119. DOI: https://doi.org/10.21037/tp.2019.02.01

Pexieder T. Prenatal development of the endocardium: a review. Scan Electron Microsc. 1981;(Pt 2):223-53. PMID: 7034166.

Scholl AM, Kirby ML. Signals controlling neural crest contributions to the heart. Wiley Interdiscip Rev Syst Biol Med. 2009 Sep-Oct;1(2):220-7. doi: 10.1002/wsbm.8. PMID: 20490374; PMCID: PMC2873602. DOI: https://doi.org/10.1002/wsbm.8

Kirby ML, Gale TF, Stewart DE. Neural crest cells contribute to normal aorticopulmonary septation. Science. 1983 Jun 3;220(4601):1059-61. doi: 10.1126/science.6844926. PMID: 6844926. DOI: https://doi.org/10.1126/science.6844926

Alverson CJ, Strickland MJ, Gilboa SM, Correa A. Maternal smoking and congenital heart defects in the Baltimore-Washington Infant Study. Pediatrics. 2011 Mar;127(3):e647-53. doi: 10.1542/peds.2010-1399. Epub 2011 Feb 28. PMID: 21357347. DOI: https://doi.org/10.1542/peds.2010-1399

Long J, Ramadhani T, Mitchell LE. Epidemiology of nonsyndromic conotruncal heart defects in Texas, 1999-2004. Birth Defects Res A Clin Mol Teratol. 2010 Nov;88(11):971-9. doi: 10.1002/bdra.20724. Epub 2010 Sep 28. PMID: 20878913. DOI: https://doi.org/10.1002/bdra.20724

Momma K. Cardiovascular anomalies associated with chromosome 22q11.2 deletion syndrome. Am J Cardiol. 2010 Jun 1;105(11):1617-24. doi: 10.1016/j.amjcard.2010.01.333. PMID: 20494672. DOI: https://doi.org/10.1016/j.amjcard.2010.01.333

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Published

2023-05-24

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Section

Case Report

How to Cite

1.
Oteyaka E, Kuguoglu OE, Sari G, Basunlu MT, Yozgat Y, Ugurlucan M, Turkoglu H. Truncus arteriosus with meandering pulmonary arteries: Atypical truncus arteriosus. J Surg Med [Internet]. 2023 May 24 [cited 2024 Jun. 22];7(5):358-60. Available from: https://jsurgmed.com/article/view/1104984