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Truncus arteriosus communis with interrupted aortic arch: successful repair using a novel technique.
Ann Thorac Surg
February 2013
Department of Cardiovascular Surgery, Kinki University School of Medicine Nara Hospital, Nara, Japan.
We report a successful one-stage biventricular repair of truncus arteriosus communis with interrupted aortic arch in a neonate. This newborn girl was diagnosed with truncus arteriosus communis type III-B (Congenital Heart Surgeons Society classification) by the echocardiography and three-dimensional computed tomography. We present a new reconstructive approach for such heart defects, involving a modified Lecompte maneuver combined with arch reconstruction, by suturing the ascending aorta to the descending aorta in end-to-end fashion called the swing-back technique.
View Article and Find Full Text PDFSurgical removal of occluder devices: complications and pitfalls.
Heart Surg Forum
June 2009
Clinic for Thoracic and Cardiovascular Surgery, Heart Center North Rhine-Westphalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany.
Interventional closures of atrial septal defects (ASDs) and paravalvular leaks represent attractive treatment options to prevent surgical procedures. Nevertheless, a small number of complications or pitfalls remain after interventional closure of ASDs or paravalvular leaks that require surgical therapy. We report on 3 cases in which surgery was necessary after attempts to close a paravalvular leak.
View Article and Find Full Text PDFPrenatal diagnosis of tricuspid atresia with hypoplastic right ventricle associated with truncus arteriosus communis type II.
Arch Gynecol Obstet
February 2010
Division of Obstetrics and Gynecology, Guastalla Civil Hospital, AUSL Reggio Emilia, Via Donatori Sangue, 2, 42016, Guastalla, RE, Italy.
Purpose: To confirm the central role of antenatal echocardiography and necropsy in the prenatal diagnosis of rare congenital heart defects.
Methods: A 33-year-old woman undergoing second trimester scan using 2D transabdominal and Doppler sonography.
Results: The echocardiographic examination showed, at the level of the four-chamber view, a predominant left ventricle with a rudimental right ventricle and a single artery emerging with failed visualization of the pulmonary trunk: a diagnosis of truncus arteriosus communis associated with tricuspid atresia and hypoplastic right heart was made.
Long-term survival in truncus arteriosus communis type A1 associated with Ehlers-Danlos syndrome--a case report.
Angiology
June 2002
Cardiology Division, Faculdade de Medicina de São José do Rio Preto, Brazil.
Long-term survival is rare in patients with truncus arteriosus communis type A1 due to the early appearance of pulmonary artery obstructive changes. A 48-year-old woman with truncus arteriosus communis type A1 diagnosed with chest radiography, two-dimensional echocardiography, and cardiac catheterization is presented. The right ventricular pressure was 108 mm Hg, whereas the systolic pulmonary artery pressure was 98 mm Hg.
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