Background: Truncus arteriosus (TA) is a rare complex cyanotic congenital heart disease (CCHD) with significant morbidity and mortality. There are few reports on the pattern of TA in Nigeria. Objectives: To determine the pattern of TA in patients at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Methods: A three-year retrospective audit of the hospital records including echocardiograms and cardiac tomography scans where available, of consecutive patients diagnosed with TA was undertaken. Results: Twenty children, 10 boys and 10 girls had TA; median age at diagnosis was 6.5 months, range: 11 days-90 months, mean (SD): 16.8 ± 21.8 months. The mean weight was 7.3 ± 4.4 kg, range: 2.65-17.0 kg and the mean oxygen saturation was 72.5 ± 17.3%, range: 36-89%. Sixteen children (80.0%) had type I and 4 (20.0%) had type II TA. Types III and IV TA were not seen. The truncal valve was tricuspid in 12 (60.0%), quadricuspid in 7 (35.0%) patients, and bicuspid in one (5.0%) patient. Truncal valve regurgitation occurred in 10 (50.0%) patients; 60.0% were mild. Associated cardiac defects included patent ductus arteriosus [PDA (15.0%)], mitral atresia (15%), atrial septal defects, major aortopulmonary collateral arteries (10%), left superior vena cava (5%), tricuspid atresia (5%), common atrium (5%). Conclusions: Although TA is a critical CCHD, diagnosis is often late in our setting. Type I is the most common variant and associated anomalies include PDA, mitral and tricuspid atresia.
| Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 8, Issue 3) |
| DOI | 10.11648/j.ijcts.20220803.11 |
| Page(s) | 24-28 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Truncus Arteriosus, Pattern, Echocardiogram, Associated Anomalies
| [1] | GBD 2017 Congenital Heart Disease Collaborators. Global, regional, and national burden of congenital heart disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet Child Adolesc Health 2020 Mar; 4 (3): 185-200. |
| [2] | Russel HM, Jacobs ML, Anderson RH, Mavroudis C, Spicer D, Corcrain E, Backer CL. A simplified categorization for common arterial trunk. J Thorac Cardiovasc Surg 2011; 141 (3): 645-653. |
| [3] | Chen Q, Gao H, Hua Z, Yang K, Yan J, Zhang H, et al. Outcomes of surgical repair for persistent truncus arteriosus from neonates to adults: A single center's experience. PLoS One 2016; 11 (1): e0146800. |
| [4] | Brown JW, Ruzmetov M, Okada Y, Vijay P, Turrentine MW. Truncus arteriosus repair: outcomes, risk factors, reoperation and management. Eur J Cardiothorac Surg 2001; 20 (2): 221-227. |
| [5] | Cabalka AK, Edwards WD, Dearani JA. Truncus Arteriosus In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF, ed. Moss and Adams’ Heart Disease in Infants, Children, and Adolescents, 7th Edition. Volume 1. Philadelphia, USA: Lippincott Williams and Wilkins, 2008: 888-910. |
| [6] | Collett R, Edwards J. Persistent truncus arteriosus: A classification according to anatomic types. Surg Clin North Am 1949; 29 (4): 1245-1270. |
| [7] | Van Praagh R, Van Praagh S. The anatomy of common aorticopulmonary trunk (truncus arteriosus communis) and its embryologic implications: a study of 57 necropsy cases. Am J Cardiol 1965; 16: 406-425. |
| [8] | Chikkabyrappa S, Mahadevaiah G, Buddhe S, Alsaied T, Tretter J. Common Arterial Trunk: Physiology, Imaging, and Management. Semin Cardiothorac Vasc Anesth 2019; 23 (2): 225-236. |
| [9] | Fyfe DA, Driscoll DJ, Di Donato RM et al. Truncus arteriosus with single pulmonary artery: Influence of pulmonary vascular obstructive disease on early and late operative results. J Am Coll Cardiol 1985; 5 (5): 1168-1172. |
| [10] | Colon M, Anderson RH, Weinberg P, Mussatto K, Bove E, Friedman AH. Anatomy, morphogenesis, diagnosis, management and outcomes for neonates with common arterial trunk. Cardiol Young 2008; 18 (3): 52-62. |
| [11] | Gate SK, Aljanabi AK, Hussein HH. Truncus arteriosus Type II. Al-Qadisiyah Medical Journal 2016; 12 (21): 171-176. |
| [12] | Animasahun BA, Ogunlana AT, Gbelee HO. The burden of truncus arteriosus in an urban city in Africa: How are we fairing? 2017 Heart Views 18 (4): 121-124. |
| [13] | Massin MM, Dessy H. Delayed recognition of congenital heart disease. Postgrad Med J 2006 Jul; 82 (969): 468-470. |
| [14] | Iyer P, Moreno G, Fernando Caneo L, Faiz T, Shekerdemian L, Iyer K. Management of late presentation congenital heart disease. Cardiol Young 2017; 27 (S6): S31-S39. |
| [15] | Šamánek M. Boy: girl ratio in children born with different forms of cardiac malformation: A population-based study. Pediatric Cardiol 1994; 15 (2): 53-57. |
| [16] | Tlaskal T, Chaloupecky V, Hucin B, Gebauer R, Krupickova S, Reich O et al. Long-term results after correction of persistent truncus arteriosus in 83 patients. Euro J Cardiothorac Surg 2010; 37 (6): 1278-1284. |
| [17] | Fuglestad SJ, Puga FJ, Danielson GK, Edwards WD. Surgical pathology of the truncal valve: A study of 12 cases. Am J Cardiovasc Pathol 1988; 2 (1): 39-47. |
| [18] | Kirby ML. Pulmonary atresia or persistent truncus arteriosus: Is it important to make the distinction and how do we do it? Circ Res 2008; 103 (4): 337-339. |
| [19] | De la Cruz MV, Cayre R, Angelini P, Noriega-Ramos N, Sadowinski S. Coronary arteries in truncus arteriosus. Am J Cardiol 1990; 66 (20): 1482-1486. |
APA Style
Olukemi Bamigboye-Taiwo, John Akintunde Okeniyi, Babajide Samson Adeyefa, Olugbenga Olalekan Ojo, Uvie Ufuoma Onakpoya, et al. (2022). Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria. International Journal of Cardiovascular and Thoracic Surgery, 8(3), 24-28. https://doi.org/10.11648/j.ijcts.20220803.11
ACS Style
Olukemi Bamigboye-Taiwo; John Akintunde Okeniyi; Babajide Samson Adeyefa; Olugbenga Olalekan Ojo; Uvie Ufuoma Onakpoya, et al. Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria. Int. J. Cardiovasc. Thorac. Surg. 2022, 8(3), 24-28. doi: 10.11648/j.ijcts.20220803.11
AMA Style
Olukemi Bamigboye-Taiwo, John Akintunde Okeniyi, Babajide Samson Adeyefa, Olugbenga Olalekan Ojo, Uvie Ufuoma Onakpoya, et al. Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria. Int J Cardiovasc Thorac Surg. 2022;8(3):24-28. doi: 10.11648/j.ijcts.20220803.11
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijcts.20220803.11,
author = {Olukemi Bamigboye-Taiwo and John Akintunde Okeniyi and Babajide Samson Adeyefa and Olugbenga Olalekan Ojo and Uvie Ufuoma Onakpoya and Joel Oghenevware Eyekpegha and Abayomi Oguns},
title = {Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria},
journal = {International Journal of Cardiovascular and Thoracic Surgery},
volume = {8},
number = {3},
pages = {24-28},
doi = {10.11648/j.ijcts.20220803.11},
url = {https://doi.org/10.11648/j.ijcts.20220803.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20220803.11},
abstract = {Background: Truncus arteriosus (TA) is a rare complex cyanotic congenital heart disease (CCHD) with significant morbidity and mortality. There are few reports on the pattern of TA in Nigeria. Objectives: To determine the pattern of TA in patients at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Methods: A three-year retrospective audit of the hospital records including echocardiograms and cardiac tomography scans where available, of consecutive patients diagnosed with TA was undertaken. Results: Twenty children, 10 boys and 10 girls had TA; median age at diagnosis was 6.5 months, range: 11 days-90 months, mean (SD): 16.8 ± 21.8 months. The mean weight was 7.3 ± 4.4 kg, range: 2.65-17.0 kg and the mean oxygen saturation was 72.5 ± 17.3%, range: 36-89%. Sixteen children (80.0%) had type I and 4 (20.0%) had type II TA. Types III and IV TA were not seen. The truncal valve was tricuspid in 12 (60.0%), quadricuspid in 7 (35.0%) patients, and bicuspid in one (5.0%) patient. Truncal valve regurgitation occurred in 10 (50.0%) patients; 60.0% were mild. Associated cardiac defects included patent ductus arteriosus [PDA (15.0%)], mitral atresia (15%), atrial septal defects, major aortopulmonary collateral arteries (10%), left superior vena cava (5%), tricuspid atresia (5%), common atrium (5%). Conclusions: Although TA is a critical CCHD, diagnosis is often late in our setting. Type I is the most common variant and associated anomalies include PDA, mitral and tricuspid atresia.},
year = {2022}
}
TY - JOUR T1 - Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria AU - Olukemi Bamigboye-Taiwo AU - John Akintunde Okeniyi AU - Babajide Samson Adeyefa AU - Olugbenga Olalekan Ojo AU - Uvie Ufuoma Onakpoya AU - Joel Oghenevware Eyekpegha AU - Abayomi Oguns Y1 - 2022/05/24 PY - 2022 N1 - https://doi.org/10.11648/j.ijcts.20220803.11 DO - 10.11648/j.ijcts.20220803.11 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 24 EP - 28 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20220803.11 AB - Background: Truncus arteriosus (TA) is a rare complex cyanotic congenital heart disease (CCHD) with significant morbidity and mortality. There are few reports on the pattern of TA in Nigeria. Objectives: To determine the pattern of TA in patients at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Methods: A three-year retrospective audit of the hospital records including echocardiograms and cardiac tomography scans where available, of consecutive patients diagnosed with TA was undertaken. Results: Twenty children, 10 boys and 10 girls had TA; median age at diagnosis was 6.5 months, range: 11 days-90 months, mean (SD): 16.8 ± 21.8 months. The mean weight was 7.3 ± 4.4 kg, range: 2.65-17.0 kg and the mean oxygen saturation was 72.5 ± 17.3%, range: 36-89%. Sixteen children (80.0%) had type I and 4 (20.0%) had type II TA. Types III and IV TA were not seen. The truncal valve was tricuspid in 12 (60.0%), quadricuspid in 7 (35.0%) patients, and bicuspid in one (5.0%) patient. Truncal valve regurgitation occurred in 10 (50.0%) patients; 60.0% were mild. Associated cardiac defects included patent ductus arteriosus [PDA (15.0%)], mitral atresia (15%), atrial septal defects, major aortopulmonary collateral arteries (10%), left superior vena cava (5%), tricuspid atresia (5%), common atrium (5%). Conclusions: Although TA is a critical CCHD, diagnosis is often late in our setting. Type I is the most common variant and associated anomalies include PDA, mitral and tricuspid atresia. VL - 8 IS - 3 ER -
Information
Email: