Truncus arteriosus with coarctation of persistent fifth aortic arch.
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.
Lim
Cheong
C
Department of Cardiovascular Surgery, Sejong General Hospital, Bucheon-shi, Kyungki-do, South Korea.
Kim
Woong-Han
WH
Kim
Soo-Cheol
SC
Lee
Jae-Young
JY
Kim
Soo-Jin
SJ
Kim
Yang-Min
YM
D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D002315:Cardiopulmonary Bypass; D005260:Female; D006324:Heart Arrest, Induced; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007223:Infant; D014057:Tomography, X-Ray Computed; D014339:Truncus Arteriosus, Persistent / Q000000981:diagnostic imaging / Q000601:surgery*