Document Detail


A case of truncus arteriosus type II.
MedLine Citation:
PMID:  10028875     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case of truncus arteriosus type II is reported. Truncus arterious is an uncommon congenital cardiac defect where a single great vessel exits the heart. Truncus arteriosus is usually fatal, if untreated. This defect occurs when the conus arteriosus and the truncus divide erroneously in the embryo. Palliative surgery in truncus arteriosus has been unsuccessful. Pulmonary banding has been tried and was ineffective and usually fatal. We operated on a nine-month-old (6200 g) male infant with a type II (Edwards-Collett) defect and a large ventricular septal defect. The pulmonary artery average pressure was 51 mmHg. We performed a cardiopulmonary bypass in the usual manner. Pulmonary arteries were resected from the truncal root, and primary end-to-end anastomosis of the truncal root to the ascending aorta was performed. Right ventricle to pulmonary artery continuity was provided using a valveless Gore-Tex graft. We lost our patient due to intractable pulmonary hypertension on the first postoperative day.
Authors:
Y Yurdakul; M Yilmaz; O S Demirtürk; A Miari; A Bilgiç
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Turkish journal of pediatrics     Volume:  40     ISSN:  0041-4301     ISO Abbreviation:  Turk. J. Pediatr.     Publication Date:    1998 Oct-Dec
Date Detail:
Created Date:  1999-04-15     Completed Date:  1999-04-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417505     Medline TA:  Turk J Pediatr     Country:  TURKEY    
Other Details:
Languages:  eng     Pagination:  619-25     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Hacettepe University Faculty of Medicine, Ankara.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Cardiopulmonary Bypass / methods
Fatal Outcome
Humans
Hypertension, Pulmonary / etiology
Infant
Male
Truncus Arteriosus, Persistent / embryology,  surgery*

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