title: Atypical truncus arteriosus operated at 28 years of age: importance of differential diagnosis.
abstract: This is the case of 28 year-old adult with suspected congenital heart disease since birth, not treated in childhood at the his family's choice. At 27 years old, he was diagnosed with pulmonary atresia with ventricular septal defect and systemic-pulmonary collaterals, where surgery was contraindicated. A new review in our department showed that it was an atypical form of truncus arteriosus. The fact that a common arterial trunk with left-right shunt was viewed by echocardiography was a crucial fact for the indication of new catheterization, opening the prospect of surgical correction. Currently, the patient is well, with 7 years of postoperative outcome.
authors: Hospital Beneficência Portuguesa de São Paulo, SP, Brazil. lilianlopes@cardiol.br
authors: Lilian Maria
authors: LM
authors: Lopes
authors: Jose Pedro da
authors: JP
authors: Silva
authors: Luciana da
authors: Ld
authors: Fonseca
authors: Sonia
authors: S
authors: Meiken
authors: André Bavaresco Cristóvão
authors: AB
authors: Salvador
authors: Gustavo Spadaccia dos Santos
authors: GS
authors: Fernandes
mesh_terms: D000328:Adult; D000367:Age Factors; D003937:Diagnosis, Differential; D006330:Heart Defects, Congenital / Q000150:complications*; D006801:Humans; D008297:Male; D014338:Truncus Arteriosus / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography