[1] Tlaskal T, Hucin B, Kucera V, Vojtovic P, Gebauer R, Chaloupecky V, Skovranek J. Repair of persistent truncus arteriosus with interrupted aortic arch. Eur J Cardiothorac Surg 2005;28:736—41. [2] Konstantinov IE. Repair of persistent truncus arteriosus with interrupted aortic arch: what did we learn? [letter to the editor] Eur J Cardiothorac Surg 2006;29:635—6. [3] McCrindle BW, Tchervenkov ...

T he ductus arteriosus allows deoxygenated blood from the right ventricle through the descending aorta and to the placenta in the fetal period. Functional and anatomical closure is complete by several weeks after birth. Patients with ductus-dependent physiology generally have advanced congenital malformations and require surgical intervention early in life. However, some patients will present a...

Surgery for the persistent ductus arteriosus (PDA) is almost 50-years-old. It started with Robert Gross in 1938 who successfully ligated the PDA in a seven-year-old girl.! Incomplete obliteration, ligatures cutting through the ductus and recanalisation of the ductus remained troublesome possibilities with this method of dealing with the PDA. Dividing the ductus and suturing each divided end sep...

INTRODUCTION Truncus arteriosus with intact ventricular septum is a rare and unique variant of persistent truncus arteriosus (PTA) which usually presents with central cyanosis and congestive heart failure in neonate and early infancy. Associated cardiac and non-cardiac anomalies may affect morbidity and mortality of these patients. CASE PRESENTATION We describe clinical presentation, echocard...

Persistent truncus arteriosus is characterized by a single arterial trunk arising from the heart and supplying the systemic, pulmonary, and coronary circulations. There are remnants neither of an atretic pulmonary artery nor aorta (Lev and Saphir, 1942; Collett and Edwards, 1949). Despite excellent clinical reviews (Anderson, Obata, and Lillehei, 1957; Tandon, Hauck, and Nadas, 1963; McCue et a...

Twenty-five patients with proven patent ductus arteriosus were examined by pulsed Doppler echocardiography (PDE) before invasive assessment. Ten patients had normal pulmonary artery pressures, and by PDE, pandiastolic ductal flow. Fifteen patients had elevation of mean pulmonary artery pressure, and by PDE, all had abbreviations of diastolic ductal flow. PDE correctly distinguished between pati...

The value of two dimensional echocardiography in identifying communications between the-ascending aorta and pulmonary trunk or individual pulmonary arteries was assessed in 24 children, all ofwhom had either angiocardiographic and surgical or angiocardiographic confirmation alone. Fourteen cases had truncus arteriosus, four aortopulmonary window, four anomalous origin of the left pulmonary arte...

The diagnosis of patent ductus arteriosus is difficult when the classic continuous murmur is not present. In infancy, in the presence of cardiac decompensation and when the ductus approximates the aorta in size, the continuous murmur is frequently absent. A correct diagnosis may be important, however, for a large patent ductus arteriosus can cause serious difficulty. Early surgical treatment ma...

Aim According to experimental studies, cardiopulmonary distress decreases after closure of patent ductus arteriosus. However, early the using ibuprofen or indomethacin has failed increase survival without serious morbidity. We review relevant data aiming define optimal management strategies that promote arteriosus adverse effects. Methods Literature in English was searched selectively focusing ...