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KMID : 0364019760090020271
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Korean Journal of Thoracic and Cardiovascular Surgery
1976 Volume.9 No. 2 p.271 ~ p.275
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Truncus Arteriosus
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홍장수/Hong, Jang Soo
박주철/노준량/김종환/서경필/이영균/Park, Joo Chul/Rho, Joon Ryang/Kim, Chong Whan/Suh, Kyung Phil/Lee, Yung-Kyoon
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Abstract
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Tuuncus arteriosis is a rare and highly lethal cardiac anomaly characterized by a single arterial trunk emerging from the heart and supplying the coronary, systemic, and pulmonary circulations.
The first successful correction of truncus arteriosus was reported by McGoon et al. in 1968 and was based on experimental work reported by Rastelli et al. in 1967 in which a conduit consisting of a homograft of the asceending aorta and aortic valve was used to estalish continuity between the right ventricle and the pulmonary arteries. Modification of this prooedure using a Dacron tube valved with porcine xenograft instead of a homograft have resulted in the current definite treatment for truncus arteriosus.
This report describes an 3 years and 4 months old boy with heart failure from type I truncus arteriosus who was diagnosed as the V.S.D. with pulmonary hypertension preoperatively and underwent corrective surgery employing the Rastelli procedure using a Dacron conduit valved with canine xenograft, but died due to massive bleeding from the anastomosis sites in operating room.
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