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Ann Thorac Surg 1985;39:82-85
© 1985 The Society of Thoracic Surgeons

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Articles

Truncus Arteriosus with Interrupted Aortic Arch: Report of a Successful Surgical Repair

From the Departments of Surgery, Division of Cardiothoracic Surgery, and of Pediatric Cardiology, Medical College of Ohio, Toledo, OH; the Congenital Heart and Conduction System Laboratory, Department of Pathology, Deborah Heart and Lung Center, Browns Mills, NJ; and the Departments of Pathology, Temple University Medical School, Philadelphia, PA, and the Pennsylvania State University, Milton S. Hershey Medical Center, Hershey, PA

Accepted for publication March 14, 1984.

^* Address reprint requests to Dr. Davis, Division of Cardiothoracic Surgery, Department of Surgery, Medical College of Ohio, CS 10008, Toledo, OH 43699

The association of truncus arteriosus with interrupted aortic arch represents a formidable surgical challenge. Two successful repairs have been reported, but none for the past ten years. This report presents a third successful repair using a technique that allows the widely patent ductus arteriosus to maintain continuity between the truncus (with pulmonary arteries detached) and the descending aorta. Right ventricle-pulmonary artery continuity is established in the usual way with a porcine-valved conduit. While long-term potential difficulties with this approach are recognized, it appears to give satisfactory initial palliation and to be an acceptable method of treatment for this combination of defects. The embryology and the anatomy of the lesion are briefly discussed.

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