[Intracardiac repair of truncus arteriosus with severe truncal valve regurgitation in neonate].
The majority of infants born with truncus arteriosus associated with truncal valve regurgitation are seen within the first week of life with the manifestation of severe congestive heart failure. The patient reported herein was a 6-day-old male with severe congestive heart failure due to massive truncal valve regurgitation. Rastelli operation with simultaneous truncal valve plasty was undertaken. The truncal valve consisted of four cusps. One left cusp was small and prolapsed. The valvuloannuloplasty was performed to the small cusp. The patient was discharged and doing well at six months postoperatively, though mild degree of the truncal valve regurgitation was recognized. We believe that the plasty of truncal valve is an effective surgical procedure for the correction of sever truncal valve regurgitation in neonate.
First Department of Surgery, Chiba University, School of Medicine, Japan.
Y
Y
Takahara
S
S
Takeuchi
K
K
Mogi
H
H
Nakajima
Y
Y
Okajima
N
N
Nakajima
D006333:Heart Failure / Q000209:etiology; D006349:Heart Valve Diseases / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014339:Truncus Arteriosus, Persistent / Q000150:complications / Q000601:surgery*