An adult with truncus arteriosus and unilateral pulmonary hypertension.
We report a young man who has persistent truncus arteriosus (TA), severe truncal regurgitation and unilateral pulmonary hypertension. Our patient had palliative main pulmonary artery (PA) banding done during infancy that was not followed by definitive corrective surgery. Unilateral irreversible left sided pulmonary hypertension developed due to migration of the PA band to the right PA. The patient presented to us with infective endocarditis of the truncal valve. This had resolved with medical treatment. Discussion was made on general management of TA and specific difficult management issues of palliated TA in adult, as found in our patient.
Chiaw
Tang Hak
TH
National Heart Center of Singapore, Department of Cardiology, Singapore. TANG_Hak_Chiaw@nhc.com.sg
San
Tan Ru
TR
Le
Tan Ju
TJ
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D010406:Penicillins / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000188:drug therapy / Q000382:microbiology*; D054773:Streptococcus gordonii / Q000302:isolation & purification; D014339:Truncus Arteriosus, Persistent / Q000150:complications* / Q000175:diagnosis / Q000628:therapy
D000900:Anti-Bacterial Agents; D010406:Penicillins