Clinical,angiocardiographic, and pathologic findings in 100 patients

Calder, Louise; Praagh, Richard Van; Praagh, Stella Van; Sears, William P.; Corwin, Robert D.; Levy, Arthur M.; Keith, John D.; Paul, Milton H.

doi:10.1016/s0002-8703(76)80400-0

Cited by 238 publications

(124 citation statements)

References 33 publications

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“…Angiographically, each would be characterised by direct opacification of either the pulmonary trunk, or the right or left pulmonary arteries from an ascending aortogram.1 2 As it turns out, the logical process whereby these different anatomical substrates can be distinguished is precisely the same for cross-sectional echocardiography as for angiography.…”

Section: Discussionmentioning

confidence: 99%

Two dimensional echocardiographic assessment of communications between ascending aorta and pulmonary trunk or individual pulmonary arteries.

Smallhorn¹,

Anderson²,

Macartney³

1982

Heart

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SUMMARY The value of two dimensional echocardiography in identifying communications between the-ascending aorta and pulmonary trunk or individual pulmonary arteries was assessed in 24 children, all of whom had either angiocardiographic and surgical or angiocardiographic confirmation alone. Fourteen cases had truncus arteriosus, four aortopulmonary window, four anomalous origin of the left pulmonary artery from the ascending aorta, and two anomalous origin of the right pulmonary artery from the ascending aorta. It was possible to identify reliably each individual abnormality with a combination of suprastemal, precordial, and subcostal cuts. Problems only arose in differentiating truncus arteriosus from pulmonary atresia and ventricular septal defect when the main pulmonary artery and infundibular region of the right ventricle were extremely hypoplastic.There are a number of abnormal communications in congenital heart diseases in which the pulmonary trunk or one or both pulmonary arteries communicate directly with the ascending aorta. These are truncus arteriosus, aortopulmonary window, and anomalous origin of one pulmonary artery from the ascending aorta. All of these conditions are unified morphologically by the presence of a defect between the ascending aorta and the pulmonary trunk or one or other pulmonary arteries. The aims of this study were to determine how these different conditions might be recognised and distinguished by two dimensional echocardiography. Subjects and methodsThe patients were drawn from those seen routinely at The Hospital for Sick Children, Great Ormond -Street. There were 14 patients with truncus arteriosus. In all the diagnosis was prospective and had been confirmed by both angiocardiography and surgery. There were four patients with anomalous origin of the left pulmonary artery from the aorta. All had had angiocardiographic and surgical confirmation of the diagnosis. There were two patients with *R H A and F J M are supported by the British Heart Foundation and, respectively, the Joseph Levy and Vandervell Foundations.Accepted for publication 2 March 1982 anomalous origin of the right pulmonary artery from the ascending aorta. In one the diagnosis was prospective and was confirmed at surgery; in the other it was retrospective after angiocardiography. There were four patients with aortopulmonary window; the diagnosis was prospective in two and retrospective in two others investigated elsewhere. All had angiographic confirmation of the diagnosis and in three surgical correction was undertaken. The fourth child died of severe pulmonary vascular disease before surgery. They were studied with an Advanced Technology Laboratory Mechanical Sector Scanner using either a 3 0 or 5 MHz scan head.The transducer was initially placed so as to obtain a subcostal four chamber cut to assess the inlets of the heart and the size of the ventricular chambers. With clockwise rotation of the scan head a long axis of the left ventricle was obtained to assess its outlet and the presence of a ventricular...

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Section: Discussionmentioning

confidence: 99%

Two dimensional echocardiographic assessment of communications between ascending aorta and pulmonary trunk or individual pulmonary arteries.

Smallhorn¹,

Anderson²,

Macartney³

1982

Heart

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“…The PAs originate from the arterial trunk in various patterns25, 26 and the presence of normal‐sized PAs results in bilateral PH, unless there is stenosis of the origin of 1 or both PAs (present in half of the patients). When branch pulmonary artery stenosis is severe, it may “protect” the respective lung from developing pulmonary vascular disease; segmental PH develops in the contralateral lung 26, 27. Historically, patients without PA stenosis would often undergo banding of the PAs before definitive repair, while at the current time early, complete repair is the treatment of choice.…”

Section: Conditions In Which Segmental Ph May Developmentioning

confidence: 99%

Definition and Management of Segmental Pulmonary Hypertension

Dimopoulos

Diller

Opotowsky

et al. 2018

JAHA

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“…[1,2] McGoon et al [3] reported the first successful surgical repair of TA using an aortic homograft in 1967. Surgery is associated with good long-term results, although the rate of reoperation is still high.…”

mentioning

confidence: 99%

“…Surgery is associated with good long-term results, although the rate of reoperation is still high. [2] Continuity between the right ventricle (RV) and pulmonary artery (PA) can be done with a conduit or direct anastomosis as described by Barbero-Marcial et al [4] Bovine jugular vein conduit (Medtronic Contegra; Medtronic, Minneapolis, MN) is a RV-to-PA conduit used for right ventricle outflow tract (RVOT) reconstruction. Its performance in small infants is promising.…”

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confidence: 99%

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Outcomes of truncus arteriosus repair with bovine jugular vein conduit

Erek

Temur

Suzan

et al. 2018

Turk Gogus Kalp Dama

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ÖZAmaç: Bu çalışmada Rastelli tipi trunkus arteriyozus olan hastalarda trunkus arteriyozus tamirinin sonuçları değerlendirildi.Çalışma planı: Ocak 2011 -Mart 2017 tarihleri arasında 13 hastaya (7 erkek, 6 kadın; medyan yaş 37 gün; dağılım, 16-60 gün) Contegra kondüiti kullanılarak trunkus arteriyozus tamiri yapıldı. Ameliyat öncesi tanı sekiz hastada trunkus arteriyozus tip 1 (Edwards-Collett), üç hastada tip 2, bir hastada tip 3 ve bir hastada tip 4 idi. Ameliyat için kullanılan Contegra kondüitleri 14 mm (n=5), 12 mm (n=7) ve 16 mm (n=1) idi. Bul gu lar:İki hastada (%15.4) erken ölüm görüldü. Medyan yoğun bakım ve hastanede kalış süreleri sırasıyla 10 (dağılım 6-14) ve 20 (dağılım 14-41) gün idi. Medyan takip süresi 36 (dağılım, 2-66) ay idi. Dört hastada (%31) takip sırasında kondüit boyutları ciddi şekilde artış gösterdi ve iki hastada 23 mm'ye, bir hastada 20 mm'ye ve diğer hastada 18 mm'ye ulaştı. Üç hastada orta derecede distal kondüit darlığı vardı. Dört hastada orta derecede pulmoner yetmezlik ve bir hastada ciddi pulmoner yetmezlik vardı. İki hastada orta derecede trunkal kapak yetmezliği ve bir hastada orta derecede rezidüel ventriküler septal defekt vardı. Hastaların hiçbirinde tekrar ameliyat gereksinimi olmadı.Sonuç: Contegra kondüiti bebeklerde trunkus arteriyozus tamiri için iyi bir alternatiftir; ancak, distal kondüit darlığı ve kondüit dilatasyonu gelişebileceği için yakın izlem gereklidir. ABSTRACT Background:In this study, we aimed to evaluate the outcomes of truncus arteriosus repair in patients undergoing Rastelli type truncus arteriosus.

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Clinical,angiocardiographic, and pathologic findings in 100 patients

Cited by 238 publications

References 33 publications

Two dimensional echocardiographic assessment of communications between ascending aorta and pulmonary trunk or individual pulmonary arteries.

Two dimensional echocardiographic assessment of communications between ascending aorta and pulmonary trunk or individual pulmonary arteries.

Definition and Management of Segmental Pulmonary Hypertension

Outcomes of truncus arteriosus repair with bovine jugular vein conduit

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