One-Stage Repair of Truncus Arteriosus, CAVC, and TAPVC

Conte, Stefano; Jensen, Tim; Jacobsen, Jens Christian Brings; Joyce, F; Lauridsen, P; Pettersson, Gösta

doi:10.1016/s0003-4975(97)83863-5

Cited by 17 publications

(9 citation statements)

References 7 publications

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“…Only 13 patients with both deformities have been reported [ 3 ]. To date, no report of successful repair in South Korea has appeared, and only 2 operative survivors have been described worldwide [ 4 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

Staged Repair of Truncus Arteriosus Associated with Complete Atrioventricular Septal Defect

Lim

Sung

Kim

et al. 2018

Korean J Thorac Cardiovasc Surg

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We report a case of successful repair of truncus arteriosus (TA) associated with complete atrioventricular septal defect (c-AVSD) using a staged approach. TA associated with c-AVSD is a very rare congenital cardiac anomaly. No report of successful staged repair in South Korea has yet been published. We performed bilateral pulmonary artery banding when the patient was 33 days old, and total correction using an extracardiac conduit was performed at the age of 18 months. The patient recovered uneventfully and is doing well.

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Section: Discussionmentioning

confidence: 99%

Staged Repair of Truncus Arteriosus Associated with Complete Atrioventricular Septal Defect

Lim

Sung

Kim

et al. 2018

Korean J Thorac Cardiovasc Surg

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“…There has been reports of patients operated for TA and balanced AVSD, and these patients underwent two ventricle repair [7,8].…”

Section: Discussionmentioning

confidence: 99%

“…The management of this uncommon combination of lesions has not been well characterized and there are limited surgical options for treatment of these patients. There has been reports of patients operated for TA and balanced AVSD, and these patients underwent two ventricle repair [7,8]. Neonates with a combination of TA and unbalanced AVSD with single ventricle physiology and pulmonary over circulation can be successfully offered palliative surgical options.…”

Section: Introductionmentioning

confidence: 99%

Down Syndrome with Unbalanced Complete Atrioventricular Septal Defect and Truncus Arteriosus

Zm¹

2017

Cardiovasc Pharm Open Access

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Truncus arteriosus (TA) is a rare cardiac anomaly constituting less than 1% of all congenital heart defects. The association of complete atrioventricular septal defect (AVSD) and truncus arteriosus is uncommon. The management of this uncommon combination of lesions has not been well characterized and there is limited surgical options for treatment of these patients. We present our case report of a late presentation of Down syndrome with unbalanced complete AVSD and type 1 truncus arteriosus in a tertiary hospital in South Africa.

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“…The patient was still alive three months after the operation. Subsequently, Conte et al 31 reported the successful correction in an infant with similar anatomy, but also with totally anomalous pulmonary venous connection to the coronary sinus. Biventricular repair was accomplished in one stage at the age of 11 months, using 3 patches, 2 to repair the ventricular septal defect and reroute the left ventricle to the neoarta, and one to septate the common atrium.…”

Section: Repair Of Common Atrioventricular Junction and Common Arterimentioning

confidence: 99%

Surgical repair of atrioventricular septal defect with common atrioventricular junction when associated with tetralogy of Fallot or double outlet right ventricle

et al. 2006

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defect with common atrioventricular junction and malformations of the ventricular outflow tracts presents a significant challenge for the surgeon. In the most common of these, the association with tetralogy of Fallot, several surgical techniques have been described, and shown to deliver excellent results. 1-10 On the other hand, in the setting of more extreme malformations, such as double-outlet right ventricle, discordant ventriculo-arterial connections, or common arterial trunk, albeit rare lesions, the combination presents a more formidable surgical challenge, as evidenced by the few reports of successful repair of these lesions. This challenge is both physiological, when dealing with a very sick neonate or infant, as well as anatomical in terms of the complexity of the malformation and the ability to achieve a successful biventricular repair. Our goal in this review is to discuss the surgical treatment in the setting of tetralogy of Fallot and double outlet right ventricle, with emphasis on biventricular repair. Incidence and classificationAlthough the incidence of common atrioventricular junction in the setting of tetralogy of Fallot can be estimated from published clinical series, the true incidence of more complex anomalies, such as double outlet right ventricle, is harder to gauge due to the paucity of published reports. The true incidence of these anomalies can be obtained from a landmark paper published by Bharati and associates, 11 which described the association of a common atrioventricular junction with tetralogy of Fallot, double outlet right ventricle, or discordant ventriculo-arterial connections. These anomalies were found in 81 out of 507 specimens with common atrioventricular canal, with 30 specimens having tetralogy of Fallot, 34 double outlet right ventricle, and 17 discordant ventriculo-arterial connections. Bharati et al. 11 further found that, amongst the cases with tetralogy of Fallot, almost all of the specimens had a common atrioventricular valvar orifice, which they nominated as "complete" defects, the remainder having a common atrioventricular junction, but with separate valvar orifices for the two ventricles, albeit, with the potential for interventricular shunting. They called these "intermediate" defects, although the junction is just as common, and the valve has the same basic morphology, apart from the separateness of the valvar orifices for the right and left ventricles. Similar proportions of morphologies were observed among the cases with double outlet right ventricle and transposition. It is well recognized that, in these settings, there can be any arrangement of the atrial appendages, common atrioventricular junction being frequently found in the setting of heterotaxy syndromes.The classification of the specific morphology of the common atrioventricular junction in the setting of tetralogy of Fallot or transposition is straightforward. On the other hand, the classification with double outlet from the right ventricle can be more complex and

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One-Stage Repair of Truncus Arteriosus, CAVC, and TAPVC

Cited by 17 publications

References 7 publications

Staged Repair of Truncus Arteriosus Associated with Complete Atrioventricular Septal Defect

Staged Repair of Truncus Arteriosus Associated with Complete Atrioventricular Septal Defect

Down Syndrome with Unbalanced Complete Atrioventricular Septal Defect and Truncus Arteriosus

Surgical repair of atrioventricular septal defect with common atrioventricular junction when associated with tetralogy of Fallot or double outlet right ventricle

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