Presentation
Abstract A child with truncus arteriosus communis, characterized by the posterior origin of an individualized pulmonary trunk is presented. [ahajournals.org]
Case presentation A 28-year old female with a history of unrepaired TA presented to the Adolescent and Young Adult Congenital Clinic for a second opinion regarding pregnancy counseling. [jcmr-online.biomedcentral.com]
It occurs in 1.5% of cases of congenital heart defects in newborns, presenting variations in their presentation as to the origin of the pulmonary trunk, which in 1949 generated an initial classification by Collett and Edwards 2, followed by Van Praagh [scielo.br]
Because of the particular rotation of the cardiac loop, the atrium and also the sinus venosus with the inflowing veins (in their entirety, the porta venosa hereinafter) are presented dorsally. [flexikon.doccheck.com]
Entire Body System
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Death in Infancy
The unoperated natural history of TA patients is extremely poor, with death in infancy or early childhood due to severe heart failure, subsequent pulmonary vascular occlusive disease, endocarditis and cerebral abscess. [jcmr-online.biomedcentral.com]
Cardiovascular
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Continuous Murmur
On this occasion, the patient was in good general condition, acyanotic, cardiac auscultation with a continuous murmur /4 throughout the precordium accompanied by fremitus. [scielo.br]
Psychiatrical
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Suggestibility
The color mapping showed accelerated flow from the truncus to the pulmonary trunk, suggesting low pulmonary vascular resistance. [scielo.br]
Systolic flattening of the interventricular septum was present suggesting right ventricular pressure overload (see Additional file 1 ). A large, subarterial VSD was noted beneath the truncal valve (Figure 2 ). [jcmr-online.biomedcentral.com]
Workup
The first diagnosis of truncus arteriosus in the life of this patient, promoted by our hospital, prompted the hospital's medical staff to deepen invasive workups, even with a history of two previous cardiac catheterizations with a diagnosis of pulmonary [scielo.br]
Treatment
Periventricular closure of a perimembranous VSD: treatment option in selected patients. Thorac Cardiovasc Surg. 2012 ;60 (1): 78 – 80. Google Scholar Medline ISI 5. Carminati, M, Butera, G, Chessa, M. [journals.sagepub.com]
Cardiac catheterization was performed, but the result has never been known by the family due to abandonment of treatment. [scielo.br]
Prognosis
The prognosis of patients with TA lesions is poor without surgical intervention. Newborns often present with signs of florid heart failure and cyanosis. [jcmr-online.biomedcentral.com]
Epidemiology
Keith JD: Prevalence, incidence, and epidemiology. Heart Disease in Infancy and Children. 1978, New York: Macmillan, 3 2. [jcmr-online.biomedcentral.com]