Long-term Results after Repair of Truncus Arteriosus Communis in Neonates and Infants

M. V. Ullmann; M. Gorenflo; C. Sebening; H. E. Ulmer; S. Hagl

doi:10.1055/s-2003-42255

The Thoracic and Cardiovascular Surgeon, Table of Contents

Thorac Cardiovasc Surg 2003; 51(4): 175-179
DOI: 10.1055/s-2003-42255

Original Cardiovascular

Original Paper
© Georg Thieme Verlag Stuttgart · New York

Long-term Results after Repair of Truncus Arteriosus Communis in Neonates and Infants

M. V. Ullmann¹ , M. Gorenflo² , C. Sebening¹ , H. E. Ulmer² , S. Hagl¹

¹Department of Cardiac Surgery, University of Heidelberg, Heidelberg, Germany
²Department of Pediatric Cardiology, University of Heidelberg, Heidelberg, Germany

Presented in part at the 32nd Annual Meeting of the German Society of Thoracic and Cardiovascular Surgery, Leipzig, February 23 - 26, 2003

Abstract

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Abstract

Background: We reviewed our experience of truncus arteriosus communis (TAC) repair. Methods: Between 05/90 and 10/01, 16 patients underwent complete repair of TAC (primary repair: group I, 12 patients, secondary repair: group II, 4 patients). Age was 2.4 months [5 days - 8.8 months] (median [range]) in group I, and 8.3 [5.6 - 13.5] years in group II. Continuity from the right ventricle to the pulmonary artery was achieved using a valved conduit. All patients had regular follow-up examinations. Results: There was one early death in each group (12.5%). Follow-up was 9 [1.2 - 12.7] years. Valved conduit failure occurred in 8 patients (67 %) in group I (group II, 1 patient, 33 %) requiring replacement at 2.5 [0.3 - 4.3] years (group II, 5.8 years). Severe neo-aortic valve regurgitation after truncal valve repair was observed in one patient, requiring valve replacement at 8.5 years in association with repeat homograft replacement (group I). Actual echocardiographic examination revealed normal ventricular function. Moderate conduit dysfunction was noted in 2 patients (group I). Conclusions: Complete repair of truncus arteriosus communis can be performed with excellent long-term results.

Key words

Truncus arteriosus communis - surgical repair - long-term results

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Michael V. Ullmann,MD

Department of Cardiac Surgery, University of Heidelberg

Im Neuenheimer Feld 110

69120 Heidelberg

Germany

Phone: ++49/6221/566272

Fax: ++49/6221/565585

Email: michael.ullmann@urz.uni-heidelberg.de