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Peralta-Santos H, Flores-Sarria IP, Ramírez-Marroquín ES, Calderón-Colmenero J, Cervantes-Salazar JL. Tronco arterioso y doble arco aórtico, asociación poco habitual: primer caso en América Latina. CIRUGIA CARDIOVASCULAR 2022. [DOI: 10.1016/j.circv.2021.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Moghadam EA, Mirzaaghayan MR, Zeinaloo A, Mohebbi A, Ghamari A. Truncus arteriosus associated with double aortic arch in a patient with DiGeorge syndrome: A rare case report. Ann Pediatr Cardiol 2019; 12:185-186. [PMID: 31143054 PMCID: PMC6521655 DOI: 10.4103/apc.apc_80_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Affiliation(s)
- Ehsan Aghaei Moghadam
- Department of Pediatric Cardiology, Tehran University of Medical Science, Tehran, Iran
| | | | - Aliakbar Zeinaloo
- Department of Pediatric Cardiology, Tehran University of Medical Science, Tehran, Iran
| | - Ali Mohebbi
- Growth and Development Research Centre, Pediatrics Centre of Excellence, Children's Medical Centre, Tehran University of Medical Sciences, Tehran, Iran. E-mail:
| | - Azin Ghamari
- Department of Pediatric Cardiology, Tehran University of Medical Science, Tehran, Iran
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Rock A, Eltayeb O, Camarda J, Gotteiner N. Prenatal diagnosis of the rare association of common arterial trunk and double aortic arch. Clin Case Rep 2016; 4:668-70. [PMID: 27386125 PMCID: PMC4929802 DOI: 10.1002/ccr3.573] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2016] [Revised: 03/09/2016] [Accepted: 04/06/2016] [Indexed: 11/08/2022] Open
Abstract
Common arterial trunk with associated double aortic arch is a very rare constellation of congenital heart disease. Prenatal diagnosis allows for surgical repair prior to development of respiratory morbidity, which is otherwise described in all cases with this association.
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Affiliation(s)
- Andrea Rock
- Ann & Robert H Lurie Children's Hospital of Chicago Northwestern University Feinberg School of Medicine Chicago IL USA
| | - Osama Eltayeb
- Ann & Robert H Lurie Children's Hospital of Chicago Northwestern University Feinberg School of Medicine Chicago IL USA
| | - Joseph Camarda
- Ann & Robert H Lurie Children's Hospital of Chicago Northwestern University Feinberg School of Medicine Chicago IL USA
| | - Nina Gotteiner
- Ann & Robert H Lurie Children's Hospital of Chicago Northwestern University Feinberg School of Medicine Chicago IL USA
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Imai K, Tsukuda K, Sakazaki H, Fujiwara K. Persistent truncus arteriosus with double aortic arch and mitral stenosis. Pediatr Cardiol 2014; 34:2024-6. [PMID: 23143310 DOI: 10.1007/s00246-012-0572-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2012] [Accepted: 10/11/2012] [Indexed: 11/26/2022]
Abstract
This report describes a case involving the rare combination of persistent truncus arteriosus type A2, double aortic arch, and mitral stenosis. At the age of 26 days, the patient underwent division of the right-sided aortic arch with tracheal compression and bilateral pulmonary banding. Fontan completion was successfully achieved after separation of the pulmonary artery from the arterial trunk, atrial septostomy, and modified Blalock-Taussig shunt at the age of 7 months and bilateral bidirectional Glenn anastomosis at the age of 1 year and 3 months. At this writing, the patient is doing well 2 years and 6 months after Fontan completion.
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Affiliation(s)
- Kenta Imai
- Department of Cardiovascular Surgery, Heart Center, Hyogo Prefectural Amagasaki Hospital, 1-1-1 Higashi-Daimotsu, Amagasaki, Hyogo, 660-0828, Japan,
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Gotsch F, Romero R, Espinoza J, Kusanovic JP, Erez O, Hassan S, Yeo L. Prenatal diagnosis of truncus arteriosus using multiplanar display in 4D ultrasonography. J Matern Fetal Neonatal Med 2010; 23:297-307. [PMID: 19900032 PMCID: PMC3437769 DOI: 10.3109/14767050903108206] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Prenatal diagnosis of truncus arteriosus with two-dimensional sonography requires expertise in fetal echocardiography. Indeed, truncus arteriosus shares with tetralogy of Fallot and pulmonary atresia with a ventricular septal defect (VSD) the sonographic finding of a single arterial trunk overriding a VSD. The diagnosis of truncus arteriosus can be confirmed when either the main pulmonary artery or its branches are visualized arising from the truncus itself. This requires sequential examination of multiple scanning planes and a process of mental reconstruction of their spatial relationships. The advantage of multiplanar imaging in three-dimensional and four-dimensional ultrasonography is that it allows for the simultaneous visualization of three orthogonal anatomic planes, which can be very important in diagnosing cardiac abnormalities. We report, first, a case of truncus arteriosus diagnosed in utero where the multiplanar display modality provided important insight into the differential diagnosis of this conotruncal anomaly, and then, review the diagnosis of truncus arteriosus on ultrasound.
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Affiliation(s)
- Francesca Gotsch
- Perinatology Research Branch, National Institute of Child Health and Human Development, NIH/DHHS, Bethesda, MD and Detroit, MI, USA
| | - Roberto Romero
- Perinatology Research Branch, National Institute of Child Health and Human Development, NIH/DHHS, Bethesda, MD and Detroit, MI, USA
- Center For Molecular Medicine and Genetics, Wayne State University, Detroit, MI, USA
- Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI, USA
| | - Jimmy Espinoza
- Perinatology Research Branch, National Institute of Child Health and Human Development, NIH/DHHS, Bethesda, MD and Detroit, MI, USA
- Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI, USA
| | - Juan Pedro Kusanovic
- Perinatology Research Branch, National Institute of Child Health and Human Development, NIH/DHHS, Bethesda, MD and Detroit, MI, USA
- Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI, USA
| | - Offer Erez
- Perinatology Research Branch, National Institute of Child Health and Human Development, NIH/DHHS, Bethesda, MD and Detroit, MI, USA
- Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI, USA
| | - Sonia Hassan
- Perinatology Research Branch, National Institute of Child Health and Human Development, NIH/DHHS, Bethesda, MD and Detroit, MI, USA
- Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI, USA
| | - Lami Yeo
- Perinatology Research Branch, National Institute of Child Health and Human Development, NIH/DHHS, Bethesda, MD and Detroit, MI, USA
- Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI, USA
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Huang SC, Wang CJ, Su WJ, Chu JJ, Hwang MS. The rare association of truncus arteriosus with a cervical double aortic arch presenting with left main bronchial compression. Cardiology 2008; 111:16-20. [PMID: 18239386 DOI: 10.1159/000113421] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2007] [Accepted: 06/07/2007] [Indexed: 11/19/2022]
Abstract
Truncus arteriosus, a double aortic arch, and a cervical aortic arch are all rare cardiovascular anomalies. We experienced a unique female newborn with the rare combination of truncus arteriosus with a cervical double aortic arch, which probably resulted from abnormal persistence of the bilateral 2nd or 3rd rather than the 4th embryonic aortic arches and failure of regression of the right 8th somitic segment of the right dorsal aorta. She presented with respiratory distress soon after birth, which was initially attributed to the vascular ring and hypertensive pulmonary arteries. Our inability to relieve her respiratory compromise by surgical division of the vascular ring and main pulmonary artery banding prompted the diagnosis of left main bronchial compression caused by a posteriorly displaced dilated ascending aorta that compressed the right pulmonary artery and left main bronchus against the descending aorta. The patient then underwent successful left main bronchus stent implantation. We speculate the cervical double aortic arch is redundant in nature and is a loose ring that may not cause tracheal compression. Nevertheless, a posteriorly displaced dilated ascending aorta in patients with truncus arteriosus may compress the right pulmonary artery and the main bronchus on the side of the aortic arch against the descending aorta.
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Affiliation(s)
- Shao-Chi Huang
- Department of Pediatrics, Chang-Gung Children's Hospital, Chang-Gung University College of Medicine, Taoyuan, Taiwan
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