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Updated: May 17, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Persistent truncus arteriosus with double aortic arch and mitral stenosis
Kenta Imai1, Kazuya Tsukuda, Hisanori Sakazaki
1Department of Cardiovascular Surgery, Heart Center, Hyogo Prefectural Amagasaki Hospital, 1-1-1 Higashi-Daimotsu, Amagasaki, Hyogo, 660-0828, Japan, kenta-i@earth.ocn.ne.jp.
Abstract:
This report describes a case involving the rare combination of persistent truncus arteriosus type A2, double aortic arch, and mitral stenosis. At the age of 26 days, the patient underwent division of the right-sided aortic arch with tracheal compression and bilateral pulmonary banding. Fontan completion was successfully achieved after separation of the pulmonary artery from the arterial trunk, atrial septostomy, and modified Blalock-Taussig shunt at the age of 7 months and bilateral bidirectional Glenn anastomosis at the age of 1 year and 3 months. At this writing, the patient is doing well 2 years and 6 months after Fontan completion.
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