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- Title
Is two-staged repair for truncus arteriosus type A3 unpractical?
- Authors
Yokoyama, Shinya; Fukuba, Ryohei; Mitani, Kazuhiro; Tonomura, Rei; Uemura, Hideki
- Abstract
<bold>Background: </bold>A complex and rare form of persistent truncus arteriosus needs careful attention when choosing the optimal strategy for repair.<bold>Aim Of the Study: </bold>We herein describe our surgical strategy of a small infant having this malformation concomitantly with right aortic arch, unusual pulmonary artery branching and a left superior vena cava.<bold>Methods: </bold>The patient underwent initially bilateral pulmonary arterial banding followed by the Rastelli type definitive repair. The pulmonary arteries were unified in front of the left superior vena cava, and the right ventricular outflow tract was readily reconstructed.<bold>Results: </bold>The patient is doing well with an excellent hemodynamic status.<bold>Conclusions: </bold>We considered the two-stage approach was sensible in this particular patient.
- Subjects
VENA cava superior; PULMONARY artery; THORACIC aorta; PULMONARY artery abnormalities; CARDIOVASCULAR surgery; PERSISTENT truncus arteriosus; TREATMENT effectiveness; MULTIPLE human abnormalities; VENTRICULAR outflow obstruction; QUESTIONNAIRES; HEMODYNAMICS; DISEASE complications
- Publication
Journal of Cardiac Surgery, 2020, Vol 35, Issue 4, p957
- ISSN
0886-0440
- Publication type
case study
- DOI
10.1111/jocs.14488