Skip to main content
Log in

Prenatal diagnosis and antenatal history of persistent truncus arteriosus: A case report

  • Original Contribution
  • Published:
Journal of Medical Ultrasonics Aims and scope Submit manuscript

Abstract

We report the prenatal diagnosis and the natural history of a fetus with truncus arteriosus. A 31-year-old woman, gravida 3, was referred for detailed examination for suspected cardiac anomaly during her 33rd week of gestation. Fetal echocardiography demonstrated a large truncal vessel overriding a ventricular septal defect, a right-side aortic arch, and a dilated ascending aortic arch. Pulsed-wave and color-flow Doppler imaging showed truncal valvular stenosis without insufficiency. No sign of congestive heart failure was detected during the prenatal period. A fetus weighing 2860 grams was delivered during the 38th week of gestation. Cyanosis was noted the day after delivery, however, and a Rastelli procedure was carried out 9 days after delivery. The baby died 7 days after the operation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ferencz C. A case-control study of cardiovascular malformations in liveborn infants: The morphologenetic relevance of epidemiologic findings. In: Clark EB, Takao A, eds. Developmental Cardiology: Morphogenesis and Function. Mt Kisco, NY: Futura, 1990; 526.

    Google Scholar 

  2. Collett RW, Edwards JE: Persistent truncus arteriosus: a classification according to anatomic types.Surg Clin North Am 1949;29: 1245–1270.

    CAS  PubMed  Google Scholar 

  3. Paladini D, Rustico M, Todros T, et al: Conotruncal anomalies in prenatal life.Ultrasound Obstet Gynecol 1996;8: 241–246.

    Article  PubMed  CAS  Google Scholar 

  4. Coffin CT: Persistent truncus arteriosus. In: Drose JA. ed. Fetal Echocardiography. Philadelphia, Pa: WB Saunders, 1998; 195–204.

    Google Scholar 

  5. Silverman NU, Snider AR: Conditions with overriding of the ventricular septum by the systemic artery. In: Two-Dimensional Echocardiography in Congenital Heart Disease. Norwalk, CT, Appleton-Century-Crofts, 1984; 158–160.

    Google Scholar 

  6. Bianchi DW, Crombleholme TM, D'Alton ME: Truncus arteriosus. In: Bianchi DW, Crombleholme TM, D'Alton ME, eds. Fetology. New York, NY: McGraw-Hill International Book Co, 2000; 389–393.

    Google Scholar 

  7. Graham TP, Gutgesell HP: Conotruncal abnormalities. In: Long WA, ed. Fetal and Neonatal Cardiology. Philadelphia, Pa: WB Saunders, 1990; 561–570.

    Google Scholar 

  8. Graham TP: Ventricular performance in adults after operation for congenital heart disease.Am J Cardiol 1982;50: 612–620.

    Article  PubMed  Google Scholar 

  9. Elami A, Laks H, Pearl JM: Truncal valve repair: initial experience with infants and children.Ann Thorac Surg 1994;57: 397–402.

    Article  PubMed  CAS  Google Scholar 

  10. Hanley FL, Heinemann MK, Jonas RA, et al: Repair of truncal arteriosus in the neonate.J Thorac Cardiovasc Surg 1993;105: 1047–1055.

    PubMed  CAS  Google Scholar 

  11. Niwa K, Perloff JK, Bhuta SM, et al: Structural abnormalities of great arterial walls in congenital heart disease: light and electron microscopic analyses.Circulation 2001;103: 393–400.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Hsu, CY., Fukui, O., Sasaki, Y. et al. Prenatal diagnosis and antenatal history of persistent truncus arteriosus: A case report. J Med Ultrasonics 29, 113–117 (2002). https://doi.org/10.1007/BF02481233

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02481233

Keywords

Navigation