Truncus Arteriosus Communis: Early and Midterm Results of Early Primary Repair

Kalavrouziotis, Georgios; Purohit, Manoj; Ciotti, Giovanna; Corno, Antonio F.; Pozzi, Marco

doi:10.1016/j.athoracsur.2006.07.017

Cited by 59 publications

(49 citation statements)

References 13 publications

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“…12 Similar to other CHDs, good mid-term prognosis of truncus arteriosus has been reported in recent years. [5][6][7][8][9][10] However, long-term prognosis of truncus arteriosus remained unknown. In this study, we found that long-term survival and the functional status are acceptable over 40 years of follow-up after truncus arteriosus repair.…”

Section: Discussionmentioning

confidence: 99%

“…4 Several studies have reported that reoperation for right ventricular (RV) outflow stenosis is frequently required in the mid-term after the initial operation. [5][6][7][8][9][10] However, there are few studies regarding long-term outcomes of this disease. In this study, we examined the long-term results over 40 years of follow-up after truncus arteriosus repair in a single institution.…”

Section: Introductionmentioning

confidence: 99%

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Long-term Outcomes after Truncus Arteriosus Repair: A Single-center Experience for More than 40 Years

Asagai

Inai

Shinohara

et al. 2016

Congenital Heart Disease

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A B S T R A C TObjectives. This study aimed to analyze long-term survival and functional outcomes after truncus arteriosus repair in a single institution with more than 40 years of follow-up. Methods. Medical records were analyzed retrospectively in 52 patients who underwent the Rastelli procedure for truncus arteriosus repair between 1974 and 2002. Thirty-five patients survived the initial repair. The median age at the initial operation was 2.8 months (range, 0.1-123 months) and the body weight was 3.9 kg (range, 1.6 to 15.0 kg). Results. The median age at follow-up was 23.6 years (range, 12.4 to 44.5 years). The median follow-up duration was 23.4 years (range, 12.3 to 40.7 years). The actuarial survival rate was 97% at 10 years and 93% at both 20 years and 40 years after the initial operation. At follow-up, most patients were in New York Heart Association (NYHA) functional classes I (73%) and II (24%). Thirty-six percent of patients had full-time jobs, 40% were students, and 21% were unemployed. Most patients (97%) had undergone conduit reoperations. Freedom from reoperation for right ventricular (RV) outflow and pulmonary artery (PA) stenosis was 59% at 5 years, 28% at 10 years, and 3% at 20 years after the initial operation. Freedom from catheter interventions for RV outflow and PA stenosis was 59% at 5 years, 47% at 10 years, and 38% at 20 years after the initial operation. Freedom from truncal valve replacement was 88% at 5 years, 85% at 10 years, and 70% at 20 years after the initial operation. Conclusions. In this single-center retrospective study, with long-term follow-up after repair of truncus arteriosus, long-term survival and functional outcomes were acceptable, despite the requirement for reoperation and multiple catheter interventions for RV outflow and PA stenosis in almost all patients, and the frequent requirement for late truncal valve operations.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-term Outcomes after Truncus Arteriosus Repair: A Single-center Experience for More than 40 Years

Asagai

Inai

Shinohara

et al. 2016

Congenital Heart Disease

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“…The actuarial survival rate was 85.7% at 5 years 23 , 93.1% ± 3.6% at 6 years 18 , and 91.5% ± 2.3% at 8 years 32 .…”

Section: Introductionmentioning

confidence: 94%

“…Conduit plasty was necessary in 6 (0.4%), and reintervention to the conduit or to the pulmonary arteries in 83 (4.9%) patients. The conduit reimplantation was due to severe stenosis (excessive gradient) of the distal anastomosis refractory to interventional treatment 9,14,24,33,35 , (pseudo)aneurysm of the proximal anastomosis 19 , progressive right ventricular dysfunction caused by severe conduit regurgitation 18,20,33 , endocarditis 11,35 or graft degeneration 35 .…”

Section: Introductionmentioning

confidence: 99%

O conduto valvulado bovino contegra, um biomaterial para o tratamento cirúrgico de cardiopatias congênitas

Yuan¹

2012

Arq. Bras. Cardiol.

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“…The surgical management of truncus arteriosus and AVSD as individual lesions has steadily improved over the past two decades, resulting in improved survival and long term outcomes [6]. The management of this uncommon combination of lesions has not been well characterized and there are limited surgical options for treatment of these patients.…”

Section: Introductionmentioning

confidence: 99%

Down Syndrome with Unbalanced Complete Atrioventricular Septal Defect and Truncus Arteriosus

Zm¹

2017

Cardiovasc Pharm Open Access

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Truncus arteriosus (TA) is a rare cardiac anomaly constituting less than 1% of all congenital heart defects. The association of complete atrioventricular septal defect (AVSD) and truncus arteriosus is uncommon. The management of this uncommon combination of lesions has not been well characterized and there is limited surgical options for treatment of these patients. We present our case report of a late presentation of Down syndrome with unbalanced complete AVSD and type 1 truncus arteriosus in a tertiary hospital in South Africa.

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Truncus Arteriosus Communis: Early and Midterm Results of Early Primary Repair

Cited by 59 publications

References 13 publications

Long-term Outcomes after Truncus Arteriosus Repair: A Single-center Experience for More than 40 Years

Long-term Outcomes after Truncus Arteriosus Repair: A Single-center Experience for More than 40 Years

O conduto valvulado bovino contegra, um biomaterial para o tratamento cirúrgico de cardiopatias congênitas

Down Syndrome with Unbalanced Complete Atrioventricular Septal Defect and Truncus Arteriosus

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