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The Journal of Thoracic and Cardiovascular Surgery, Vol 99, 364-369, Copyright © 1990 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
M Barbero-Marcial, A Riso, E Atik and A Jatene
A new corrective operation for truncus arteriosus without the use of an
extracardiac conduit was performed in seven patients with truncus type I
(six patients) or type II (one patient) aged from 2 to 9 months. The common
truncus arteriosus was septated with a patch into aortic and pulmonary
segments and the ventricular septal defect was closed through a
ventriculotomy. A direct anastomosis between the pulmonary arteries and the
right ventricle was performed, the anterior wall being constructed with a
patch with a monocusp valve. There was one death in the immediate
postoperative period. In the surviving six patients the postoperative right
ventricular/left ventricular peak systolic pressure ratio was less than
0.51 in five and 0.60 in one with a residual ventricular septal defect. All
are in functional class I between 1 and 14 months after the operation. On
the basis of these results, we propose this technique for patients with
truncus type I or II in the first year of life.
ARTICLES
A technique for correction of truncus arteriosus types I and II without extracardiac conduits
University of Sao Paulo Medical School, Heart Institute, Brazil.
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