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Solitary arterial trunk

Published online by Cambridge University Press:  19 August 2008

Daniel J. Penny*
Affiliation:
The Department of Paediatric Cardiology, Royal Children's Hospital, Melbourne
Rakesh Dua
Affiliation:
The Department of Paediatric Cardiology, Royal Children's Hospital, Melbourne
James L. Wilkinson
Affiliation:
The Department of Paediatric Cardiology, Royal Children's Hospital, Melbourne
*
Dr. Daniel J. Penny, Department of Cardiology, Royal Children's Hospital, Parkville, Victoria, 3052, Australia.

Abstract

A heart is described in which there was a solitary arterial trunk that exited from the heart astride a large perimembranous ventricular septal defect, with the pulmonary arterial supply originating entirely from collaterals from the descending aorta. There was no evidence of either hilar pulmonary arteries or an atretic pulmonary trunk. The morphology of the ventricular outlet component, with absence of the outlet septum supports the description of this heart as solitary arterial trunk, rather than tetralogy of Fallot with pulmonary atresia.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1994

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References

Collett, RW, Edwards, JE.Persistent truncus arteriosus: a classification according to anatomic types. Surg Clin North Am 1949; 29: 12451267.CrossRefGoogle ScholarPubMed
Van Praagh, R.Classification of truncus arteriosus communis. Am Heart J 1976; 92: 129132.CrossRefGoogle ScholarPubMed
Thiene, C, Bortolotto, U, Gallucci, V, Terribile, V, Pelligrino, PA.Anatomical study of truncus arteriosus with embryological and surgical considerations. Br Heart J 1976; 38: 11091123.CrossRefGoogle ScholarPubMed
Schofield, DE, Anderson, RH.Common arterial trunk with pulmonary atresia. Int J Cardiol 1988; 20: 290294.CrossRefGoogle ScholarPubMed
Sotomora, RF, Edwards, JE.Anatomic identification of so-called absent pulmonary artery. Circulation 1978; 57: 624633.CrossRefGoogle ScholarPubMed
Williams, RL, Sommerville, RJ. Truncus arteriosus. In: Garson, A Jr, Bricker, JT, Mc Namara, DG (eds). The Science and Practice of Pediatric Cardiology. Lea and Febiger, Philadelphia, 1990, pp 11271133.Google Scholar
Sawatari, K, Imai, Y, Kurosawa, H, Momma, K. Staged operation for pulmonary atresia and ventricular septal defect with major aortopulmonary collateral arteries. In: Crupi, G, Parenzan, L, Anderson, RH (eds). Perspectives in Paediatric Cardiology, Futura Press Inc., New York, 1989, pp 252255.Google Scholar
Shrivastava, S, Edwards, JE.Coronary arterial origin in persistent truncus arteriosus. Circulation 1977; 55: 551554.CrossRefGoogle ScholarPubMed
Anderson, KW, McGoon, DC, Lie, JT.Surgical significance of the coronary arterial anatomy in truncus arteriosus communis. Am J Cardiol 1978; 41: 7681.CrossRefGoogle ScholarPubMed
Yacoub, MH, Radley-Smith, R.Anatomy of the coronary arteries in transposition of the great arteries and methods for their transfer in anatomical correction. Thorax 1978; 33: 418424.CrossRefGoogle ScholarPubMed