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Successful surgical repair of pulmonary dominant common arterial trunk without aortic arch obstruction in a neonate


1 Believers International Heart Centre, Believers Church Medical College Hospital, Thiruvalla, Kerala, India
2 Biosciences Institute, Newcastle University, Newcastle-upon-Tyne, United Kingdom
3 Department of Radiology, Believers Church Medical College Hospital, Thiruvalla, Kerala, India

Correspondence Address:
Dr. Raghavannair Suresh Kumar
Believers International Heart Centre, Believers Church Medical College Hospital, Thiruvalla - 689 103, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_239_20

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Year : 2021  |  Volume : 14  |  Issue : 3  |  Page : 416-418

 

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The pulmonary dominant variant of the common arterial trunk has always been reported to be associated with aortic coarctation, or interruption of the aortic arch, along with a duct-dependent systemic circulation. This mandates a complex surgical repair with attendant high surgical mortality. We report a 23-day-old baby with a pulmonary dominant trunk with mild aortic hypoplasia but with an arch free of coarctation or interruption, who underwent successful surgical repair. In the preoperative evaluation of a common arterial trunk, pulmonary dominance may not necessarily denote an adverse risk factor when the aorta is only mildly hypoplastic.






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1 Believers International Heart Centre, Believers Church Medical College Hospital, Thiruvalla, Kerala, India
2 Biosciences Institute, Newcastle University, Newcastle-upon-Tyne, United Kingdom
3 Department of Radiology, Believers Church Medical College Hospital, Thiruvalla, Kerala, India

Correspondence Address:
Dr. Raghavannair Suresh Kumar
Believers International Heart Centre, Believers Church Medical College Hospital, Thiruvalla - 689 103, Kerala
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_239_20

Rights and Permissions

The pulmonary dominant variant of the common arterial trunk has always been reported to be associated with aortic coarctation, or interruption of the aortic arch, along with a duct-dependent systemic circulation. This mandates a complex surgical repair with attendant high surgical mortality. We report a 23-day-old baby with a pulmonary dominant trunk with mild aortic hypoplasia but with an arch free of coarctation or interruption, who underwent successful surgical repair. In the preoperative evaluation of a common arterial trunk, pulmonary dominance may not necessarily denote an adverse risk factor when the aorta is only mildly hypoplastic.






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