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Unusual Differential Diagnosis of Common Arterial Trunk

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Abstract

Common arterial trunk is relatively a straightforward diagnosis on echocardiography. We describe a neonate who was referred to our centre as a case of common arterial trunk but on evaluation was found to have pulmonary atresia with ventricular septal defect and aortopulmonary window, for which he underwent repair with Barbero-Marcial technique. These two conditions differ anatomically and embryologically, and careful echocardiographic evaluation will help in diagnosis and appropriate management.

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Author information

Correspondence to Sejal Shah.

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Movie clip 1. Parasternal long-axis view on 2D echocardiogram shows a large subaortic VSD and overriding of aorta. Valvar pulmonary atresia is seen on sweeping anteriorly. (AVI 1607 kb)

Movie clip 2. Parasternal short-axis view on 2D echocardiogram shows a large proximal AP window and confluent good-sized branch pulmonary arteries. (AVI 898 kb)

Movie clip 1. Parasternal long-axis view on 2D echocardiogram shows a large subaortic VSD and overriding of aorta. Valvar pulmonary atresia is seen on sweeping anteriorly. (AVI 1607 kb)

Movie clip 2. Parasternal short-axis view on 2D echocardiogram shows a large proximal AP window and confluent good-sized branch pulmonary arteries. (AVI 898 kb)

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Shah, S., Kavya, Saraf, R. et al. Unusual Differential Diagnosis of Common Arterial Trunk. Pediatr Cardiol 33, 1180–1182 (2012) doi:10.1007/s00246-012-0240-9

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Keywords

  • Aortopulmonary window
  • Pulmonary atresia
  • Common arterial trunk