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The Journal of Thoracic and Cardiovascular Surgery, Vol 69, 169-182, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association


ARTICLES

Current status of the surgical treatment of truncus arteriosus

RA Poirier, MA Berman and HC Stansel Jr

Persistent truncus asteriosus is now correctable surgically in patients with favorable anatomy. Given pulmonary arteries of reasonable size arising from any source, successful correction is possible so long as irreversible pulmonary vascular disease has not occurred. Although the majority of children with this defect demonstrate increased pulmonary blood flow, systemic-pulmonary artery shunts can be used. Also, banding of the pulmonary artery, followed subsequently by successful total correction, has been described. Recent reports of a few successful total corrections in infancy, performed with the aid of deep hypothermia and circulatory arrest, may modify the current approach. Although the majority of the reported corrections have involved aortic homograft reconstruction of the pulmonary artery, we strongly favor a synthetic prosthesis containing a heterograft valve. Based upon our clinical experience and this review of the literature, a suggested management protocol is presented.


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J. M. Williams, M. de Leeuw, M. D. Black, R. M. Freedom, W. G. Williams, and B. W. McCrindle
Factors associated with outcomes of persistent truncus arteriosus
J. Am. Coll. Cardiol., August 1, 1999; 34(2): 545 - 553.
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Copyright © 1975 by The American Association for Thoracic Surgery.