HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Pearl, J. M. Articles by Williams, R. Search for Related Content PubMed PubMed Citation Articles by Pearl, J. M. Articles by Williams, R.

The Annals of Thoracic Surgery, Vol 52, 780-786, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Repair of truncus arteriosus in infancy

JM Pearl, H Laks, DC Drinkwater Jr, E Milgalter, Charas Orrin-Ailloni-, F Giacobetti, B George and R Williams
Department of Surgery, University of California, Los Angeles.

Improvements in myocardial protection, surgical technique, and postoperative care have decreased operative mortality for neonatal repair of truncus arteriosus. Primary repair of truncus arteriosus in infancy without prior pulmonary artery banding is currently the preferred approach. During the period from 1982 to December 1990, 32 patients under the age of 12 months underwent surgical correction of truncus arteriosus at UCLA. The average age was 3.5 months (range, 12 days to 12 months). Three patients had interrupted aortic arch. Early mortality for the entire group was 15.6% (5/32); for those older than 1 month early mortality was 7% (2/28). In the past 4 years, early mortality has decreased to 8.3% (2/24); both of these patients had interrupted aortic arch. Excluding patients with interrupted aortic arch, there were no early deaths in the last 22 patients (1986 to 1990). Late mortality overall was 7.4% (2/27). In a mean follow-up of 73 months (range, 40 to 110 months), 71% (5/7) of the survivors with Dacron porcine-valved conduits required conduit replacement secondary to obstruction. In a mean follow-up of 36 months (range, 1 to 89 months), only 14% (3/21) of the patients with homografts required replacement secondary to obstruction.

This article has been cited by other articles:

				V. Benjacholamas, J. Namchaisiri, A. Khongphatthanayothin, and P. Lertsapcharoen Bicuspidized Pulmonary Homograft for Truncus Arteriosus Repair Asian Cardiovasc Thorac Ann, June 1, 2008; 16(3): 189 - 193. [Abstract] [Full Text] [PDF]

				J. M. Chen, J. S. Glickstein, R. R. Davies, M. L. Mercando, W. E. Hellenbrand, R. S. Mosca, and J. M. Quaegebeur The effect of repair technique on postoperative right-sided obstruction in patients with truncus arteriosus J. Thorac. Cardiovasc. Surg., March 1, 2005; 129(3): 559 - 568. [Abstract] [Full Text] [PDF]

				H. Takayama, A. Sekiguchi, M. Chikada, M. Noma, A. Ishizawa, and S. Takamoto Mortality of pulmonary artery banding in the current era: recent mortality of PA banding Ann. Thorac. Surg., October 1, 2002; 74(4): 1219 - 1224. [Abstract] [Full Text] [PDF]

				L. D. Thompson, D. B. McElhinney, V. M. Reddy, E. Petrossian, N. H. Silverman, and F. L. Hanley Neonatal repair of truncus arteriosus: continuing improvement in outcomes Ann. Thorac. Surg., August 1, 2001; 72(2): 391 - 395. [Abstract] [Full Text] [PDF]

				J. W. Brown, M. Ruzmetov, Y. Okada, P. Vijay, and M. W. Turrentine Truncus arteriosus repair: outcomes, risk factors, reoperation and management Eur. J. Cardiothorac. Surg., August 1, 2001; 20(2): 221 - 227. [Abstract] [Full Text] [PDF]

				A.J. Levine, P.A. Miller, O.S. Stumper, J.G.C. Wright, E.D. Silove, J.V. De Giovanni, B. Sethia, and W.J. Brawn Early results of right ventricular-pulmonary artery conduits in patients under 1 year of age Eur. J. Cardiothorac. Surg., February 1, 2001; 19(2): 122 - 126. [Abstract] [Full Text] [PDF]

				J. M. Williams, M. de Leeuw, M. D. Black, R. M. Freedom, W. G. Williams, and B. W. McCrindle Factors associated with outcomes of persistent truncus arteriosus J. Am. Coll. Cardiol., August 1, 1999; 34(2): 545 - 553. [Abstract] [Full Text] [PDF]

				S. Nakae, S. Kasahara, N. Kuroyama, Z.-B. Lin, S. Hiraishi, Y. Agata, and H. Yoshimura Correction of Truncus Arteriosus With Autologous Arterial Flap in Neonates and Small Infants Ann. Thorac. Surg., July 1, 1996; 62(1): 123 - 128. [Abstract] [Full Text]