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Truncus Arteriosus
Michael D. Puchalski, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Truncus arteriosus communis
            • Persistent truncus arteriosus
            • Common arterial trunk
          • Definitions

            • Single vessel (truncus) arises from heart
              • Gives origin to coronary, pulmonary artery (PA) and systemic arteries
              • PA origin from this single artery differentiates truncus from pulmonary valve atresia

          IMAGING

          • Echocardiographic Findings

            • Imaging Recommendations

              DIFFERENTIAL DIAGNOSIS

                PATHOLOGY

                • General Features

                  • Gross Pathologic & Surgical Features

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              • Image Interpretation Pearls

                                Selected References

                                1. Gómez O et al: Accuracy of fetal echocardiography in the differential diagnosis between truncus arteriosus and pulmonary atresia with ventricular septal defect. Fetal Diagn Ther. 39(2):90-9, 2015
                                2. Traisrisilp K et al: Prenatal differentiation between truncus arteriosus (Types II and III) and pulmonary atresia with ventricular septal defect. Ultrasound Obstet Gynecol. 46(5):564-70, 2015
                                3. Lee MY et al: Variety of prenatally diagnosed congenital heart disease in 22q11.2 deletion syndrome. Obstet Gynecol Sci. 57(1):11-6, 2014
                                4. O'Byrne ML et al: 22q11.2 Deletion syndrome is associated with increased perioperative events and more complicated postoperative course in infants undergoing infant operative correction of truncus arteriosus communis or interrupted aortic arch. J Thorac Cardiovasc Surg. 148(4):1597-605, 2014
                                5. O'Byrne ML et al: Morbidity in children and adolescents after surgical correction of truncus arteriosus communis. Am Heart J. 166(3):512-8, 2013
                                6. Galindo A et al: Conotruncal anomalies in fetal life: accuracy of diagnosis, associated defects and outcome. Eur J Obstet Gynecol Reprod Biol. 146(1):55-60, 2009
                                7. Swanson TM et al: Truncus arteriosus: diagnostic accuracy, outcomes, and impact of prenatal diagnosis. Pediatr Cardiol. 30(3):256-61, 2009
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Pathology

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Synonyms

                                          • Truncus arteriosus communis
                                          • Persistent truncus arteriosus
                                          • Common arterial trunk
                                        • Definitions

                                          • Single vessel (truncus) arises from heart
                                            • Gives origin to coronary, pulmonary artery (PA) and systemic arteries
                                            • PA origin from this single artery differentiates truncus from pulmonary valve atresia

                                        IMAGING

                                        • Echocardiographic Findings

                                          • Imaging Recommendations

                                            DIFFERENTIAL DIAGNOSIS

                                              PATHOLOGY

                                              • General Features

                                                • Gross Pathologic & Surgical Features

                                                  CLINICAL ISSUES

                                                  • Presentation

                                                    • Demographics

                                                      • Natural History & Prognosis

                                                        • Treatment

                                                          DIAGNOSTIC CHECKLIST

                                                          • Consider

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Gómez O et al: Accuracy of fetal echocardiography in the differential diagnosis between truncus arteriosus and pulmonary atresia with ventricular septal defect. Fetal Diagn Ther. 39(2):90-9, 2015
                                                              2. Traisrisilp K et al: Prenatal differentiation between truncus arteriosus (Types II and III) and pulmonary atresia with ventricular septal defect. Ultrasound Obstet Gynecol. 46(5):564-70, 2015
                                                              3. Lee MY et al: Variety of prenatally diagnosed congenital heart disease in 22q11.2 deletion syndrome. Obstet Gynecol Sci. 57(1):11-6, 2014
                                                              4. O'Byrne ML et al: 22q11.2 Deletion syndrome is associated with increased perioperative events and more complicated postoperative course in infants undergoing infant operative correction of truncus arteriosus communis or interrupted aortic arch. J Thorac Cardiovasc Surg. 148(4):1597-605, 2014
                                                              5. O'Byrne ML et al: Morbidity in children and adolescents after surgical correction of truncus arteriosus communis. Am Heart J. 166(3):512-8, 2013
                                                              6. Galindo A et al: Conotruncal anomalies in fetal life: accuracy of diagnosis, associated defects and outcome. Eur J Obstet Gynecol Reprod Biol. 146(1):55-60, 2009
                                                              7. Swanson TM et al: Truncus arteriosus: diagnostic accuracy, outcomes, and impact of prenatal diagnosis. Pediatr Cardiol. 30(3):256-61, 2009