Unusual Differential Diagnosis of Common Arterial Trunk

Abstract

Common arterial trunk is relatively a straightforward diagnosis on echocardiography. We describe a neonate who was referred to our centre as a case of common arterial trunk but on evaluation was found to have pulmonary atresia with ventricular septal defect and aortopulmonary window, for which he underwent repair with Barbero-Marcial technique. These two conditions differ anatomically and embryologically, and careful echocardiographic evaluation will help in diagnosis and appropriate management.

Aortopulmonary window with pumonary atresia with ventricular septal defect with D-transposition of great arteries: extremely rare anomaly

“…In 2004, Kuhn et al 3 diagnosed this entity by prenatal echocardiography; this case underwent primary surgical correction at age of 4 weeks due to intractable heart failure. The sixth case was diagnosed by Shah et al 4 in 2012 in 9 days old neonate and surgically corrected by barbero-marcial technique.…”

“…This is the unusual differential diagnosis of common arterial trunk 4. Common arterial trunk is defined as a single arterial vessel that arises from the base of the heart and gives origin to the coronary, pulmonary and systemic arteries.…”