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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
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.
ARTICLES
Current status of the surgical treatment of truncus arteriosus
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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. [Abstract] [Full Text] [PDF] |
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