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A Successful Correction of a Truncus Arteriosus in an 8-Year-Old Girl with Functional Pulmonary Stenosis by a Particular Opening of the Truncal Valve

Received: 25 December 2022    Accepted: 27 January 2023    Published: 9 February 2023
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Abstract

Background: Truncus arteriosus is a rare congenital heart malformation requiring repair in the neonatal period. Without correction, the majority of patients die within the first year of life. However, this case shows that some patients remain operable even at an advanced age. Case presentation: We report the case of an 8-year-old girl with type 2 truncus arteriosus with pulmonary vascular protection by a particular opening of the truncal valve partially obstructing the origin of the pulmonary artery in systole and causing a reduction in pulmonary flow. The initial evaluation based on the clinical presentation, the electrocardiogram and the echocardiography showed a significant elevation of the pressures of the right ventricle with a functional stenosis at the origin of the pulmonary artery. Hemodynamic exploration demonstrated that the pulmonary arterial hypertension is reversible, thereby the patient was successfully operated. Conclusion: The objective of this observation is to demonstrate that truncus arteriosus referred late does not eliminate the possibility of complete surgical repair, which underlines the importance of an exhaustive evaluation of these patients based on several arguments.

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 8, Issue 6)
DOI 10.11648/j.ijcts.20220806.11
Page(s) 59-62
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Congenital Heart Defect, Truncus Arteriosus, Pulmonary Hypertension

References
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[13] Zhu Y, Jiang Q, Zhang W, Hu R, Dong W, Zhang H and Zhang H (2022) Outcomes and occurrence of post-operative pulmonary hypertension crisis after late referral truncus arteriosus repair. Front. Cardiovasc. Med. 9: 999032.
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[15] Novick WM, Sandoval N, Lazorhysynets VV, et al Flap valve double patch closure of ventricular septal defects in children with increased pulmonary vascular resistance. Ann Thorac Surg. 2005; 79 (1): 21-28. 7.
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  • APA Style

    Karima Hami, Rida Ajaja, Younes Cheikhaoui. (2023). A Successful Correction of a Truncus Arteriosus in an 8-Year-Old Girl with Functional Pulmonary Stenosis by a Particular Opening of the Truncal Valve. International Journal of Cardiovascular and Thoracic Surgery, 8(6), 59-62. https://doi.org/10.11648/j.ijcts.20220806.11

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    ACS Style

    Karima Hami; Rida Ajaja; Younes Cheikhaoui. A Successful Correction of a Truncus Arteriosus in an 8-Year-Old Girl with Functional Pulmonary Stenosis by a Particular Opening of the Truncal Valve. Int. J. Cardiovasc. Thorac. Surg. 2023, 8(6), 59-62. doi: 10.11648/j.ijcts.20220806.11

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    AMA Style

    Karima Hami, Rida Ajaja, Younes Cheikhaoui. A Successful Correction of a Truncus Arteriosus in an 8-Year-Old Girl with Functional Pulmonary Stenosis by a Particular Opening of the Truncal Valve. Int J Cardiovasc Thorac Surg. 2023;8(6):59-62. doi: 10.11648/j.ijcts.20220806.11

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  • @article{10.11648/j.ijcts.20220806.11,
      author = {Karima Hami and Rida Ajaja and Younes Cheikhaoui},
      title = {A Successful Correction of a Truncus Arteriosus in an 8-Year-Old Girl with Functional Pulmonary Stenosis by a Particular Opening of the Truncal Valve},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {8},
      number = {6},
      pages = {59-62},
      doi = {10.11648/j.ijcts.20220806.11},
      url = {https://doi.org/10.11648/j.ijcts.20220806.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20220806.11},
      abstract = {Background: Truncus arteriosus is a rare congenital heart malformation requiring repair in the neonatal period. Without correction, the majority of patients die within the first year of life. However, this case shows that some patients remain operable even at an advanced age. Case presentation: We report the case of an 8-year-old girl with type 2 truncus arteriosus with pulmonary vascular protection by a particular opening of the truncal valve partially obstructing the origin of the pulmonary artery in systole and causing a reduction in pulmonary flow. The initial evaluation based on the clinical presentation, the electrocardiogram and the echocardiography showed a significant elevation of the pressures of the right ventricle with a functional stenosis at the origin of the pulmonary artery. Hemodynamic exploration demonstrated that the pulmonary arterial hypertension is reversible, thereby the patient was successfully operated. Conclusion: The objective of this observation is to demonstrate that truncus arteriosus referred late does not eliminate the possibility of complete surgical repair, which underlines the importance of an exhaustive evaluation of these patients based on several arguments.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - A Successful Correction of a Truncus Arteriosus in an 8-Year-Old Girl with Functional Pulmonary Stenosis by a Particular Opening of the Truncal Valve
    AU  - Karima Hami
    AU  - Rida Ajaja
    AU  - Younes Cheikhaoui
    Y1  - 2023/02/09
    PY  - 2023
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    DO  - 10.11648/j.ijcts.20220806.11
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
    SP  - 59
    EP  - 62
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20220806.11
    AB  - Background: Truncus arteriosus is a rare congenital heart malformation requiring repair in the neonatal period. Without correction, the majority of patients die within the first year of life. However, this case shows that some patients remain operable even at an advanced age. Case presentation: We report the case of an 8-year-old girl with type 2 truncus arteriosus with pulmonary vascular protection by a particular opening of the truncal valve partially obstructing the origin of the pulmonary artery in systole and causing a reduction in pulmonary flow. The initial evaluation based on the clinical presentation, the electrocardiogram and the echocardiography showed a significant elevation of the pressures of the right ventricle with a functional stenosis at the origin of the pulmonary artery. Hemodynamic exploration demonstrated that the pulmonary arterial hypertension is reversible, thereby the patient was successfully operated. Conclusion: The objective of this observation is to demonstrate that truncus arteriosus referred late does not eliminate the possibility of complete surgical repair, which underlines the importance of an exhaustive evaluation of these patients based on several arguments.
    VL  - 8
    IS  - 6
    ER  - 

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Author Information
  • Congenital Cardiology Unit, Cheikh Zaid Hospital, Abulcassis University, Rabat, Morocco

  • Congenital Cardiology Unit, Cheikh Zaid Hospital, Abulcassis University, Rabat, Morocco

  • Congenital Cardiology Unit, Cheikh Zaid Hospital, Abulcassis University, Rabat, Morocco

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