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Published in: Journal of Cardiothoracic Surgery 1/2013

Open Access 01-12-2013 | Case report

Successful staged repair for a rare type of truncus arteriosus with interruption of the aortic arch and abnormal origin of the left coronary artery

Authors: Shunji Uchita, Yorikazu Harada, Kentaro Honda, Koji Toguchi, Yoshiharu Nishimura, Tomohiro Suenaga, Takashi Takeuchi, Hiroyuki Suzuki, Yoshitaka Okamura

Published in: Journal of Cardiothoracic Surgery | Issue 1/2013

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Abstract

We report a successful staged repair for a quite rare combination of truncus arteriosus (TA), Van Praagh type A4, and abnormal origin of the left coronary artery (CA). Furthermore, the case was complicated by a variant of the chromosomal anomaly in cat-cry syndrome. The presence of interruption of the aortic arch (IAA) and abnormal CA origin has been previously reported to increase mortality. To decrease the risk of bronchomalacia in infants, bilateral pulmonary artery banding (PAB) was performed as the first stage procedure for adjusting the pulmonary flow. Staged repair is a useful strategy for infants with complex TA.
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Literature
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Metadata
Title
Successful staged repair for a rare type of truncus arteriosus with interruption of the aortic arch and abnormal origin of the left coronary artery
Authors
Shunji Uchita
Yorikazu Harada
Kentaro Honda
Koji Toguchi
Yoshiharu Nishimura
Tomohiro Suenaga
Takashi Takeuchi
Hiroyuki Suzuki
Yoshitaka Okamura
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2013
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-8-136

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