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.
Similar content being viewed by others
References
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.
Collett RW, Edwards JE: Persistent truncus arteriosus: a classification according to anatomic types.Surg Clin North Am 1949;29: 1245–1270.
Paladini D, Rustico M, Todros T, et al: Conotruncal anomalies in prenatal life.Ultrasound Obstet Gynecol 1996;8: 241–246.
Coffin CT: Persistent truncus arteriosus. In: Drose JA. ed. Fetal Echocardiography. Philadelphia, Pa: WB Saunders, 1998; 195–204.
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.
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.
Graham TP, Gutgesell HP: Conotruncal abnormalities. In: Long WA, ed. Fetal and Neonatal Cardiology. Philadelphia, Pa: WB Saunders, 1990; 561–570.
Graham TP: Ventricular performance in adults after operation for congenital heart disease.Am J Cardiol 1982;50: 612–620.
Elami A, Laks H, Pearl JM: Truncal valve repair: initial experience with infants and children.Ann Thorac Surg 1994;57: 397–402.
Hanley FL, Heinemann MK, Jonas RA, et al: Repair of truncal arteriosus in the neonate.J Thorac Cardiovasc Surg 1993;105: 1047–1055.
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.
Author information
Authors and Affiliations
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
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02481233