EP11.13: Prenatal diagnosis of truncus arteriosus in the Amazon

Prenatal diagnosis of complete atrioventricular septal defect with truncus arteriosus.

Truncus arteriosus (TA) is a rare cardiac anomaly constituting less than 1% of all congenital heart defects. Its association with complete atrioventricular septal defect (AVSD) is extremely unusual and only 12 cases diagnosed postnatally or postmortem have been reported so far. We describe the first case of truncus arteriosus with AVSD to be diagnosed prenatally by fetal echocardiography.

Truncus arteriosus

Truncus Arteriosus

We have encountered difficulty in recognizing and identifying clinically true truncus arteriosus with pulmonary arteries (type 1) because of its resemblance to correctable cardiac defects such as patent ductus arteriosus, aortic-pulmonic defect, and ventricular septal defect. In the present report we are presenting clinical information on 14 patients with this anomaly, both to supplement the sc...

Repair of truncus arteriosus.

When commenting on the paper of Danton and colleagues concerning surgical repair of the common arterial trunk, I pointed out that their optimal procedure was first described by the late Kenneth Reid [1]. They indicated in the discussion that they would modify this manuscript accordingly. Sadly, they did not [2]. That does not, however, detract from Mr Reid’s precedence with this particular proc...

Persistent Truncus Arteriosus

PERSISTENT truncus arteriosus is one of the rarer congenital cardiac anomalies. Keith et al.1 cite the incidence to be less than 1 per cent of their congenital cardiac patients Abbott2 found 21 in her autopsy series of 1,000 cases and Wood3 had one in his clinical series of 900. Collett and Edwards4 reviewed, in an excellent study of 80 autopsied cases, the pathology of truncus arteriosus. The ...