Truncus arteriosus with coarctation of persistent fifth aortic arch.

Ann Thorac Surg

Department of Cardiovascular Surgery, Sejong General Hospital, Bucheon-shi, Kyungki-do, South Korea.

Published: November 2002

Truncus arteriosus is a rare form of congenital heart defect. Among cases, 10% to 20% are associated with arch anomalies, such as interruption, coarctation, or patent ductus arteriosus. We treated a rare case of combined truncus with complex arch anomaly. The patient was a 2-month-old girl weighing 3.8 kg. Echocardiogram and computed tomogram showed interrupted aortic arch, truncus arteriosus, persistent fifth aortic arch, and its coarctation. One-stage total correction was performed under cardiopulmonary bypass without circulatory arrest. The operation consisted of a Rastelli procedure with a 12-mm valved conduit, coarctoplasty, and intraventricular baffling. The patient recovered well without complications.

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http://dx.doi.org/10.1016/s0003-4975(02)04011-0DOI Listing

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