Clinical Data: Patient diagnosed with common arterial trunk, submitted to pulmonary artery banding in another center and lost to clinical follow-up. Referred to our center at four years old, extremely cyanotic. Chest radiography: Cardiomegaly; attenuated peripheral vascular markings. Electrocardiography: Right ventricular hypertrophy. Echocardiography: Common arterial trunk, but it was not possible to analyze all the structures. Computed tomography angiography: Van Praagh type A4 common arterial trunk. Extremely hypoplastic right and left pulmonary arteries.

Diagnosis: Association of aortic arch interruption type A is uncommon and should be considered.

Operation: Debanding of pulmonary arteries allowing for possible future complete repair.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8973140PMC
http://dx.doi.org/10.21470/1678-9741-2021-0008DOI Listing

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