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Mitral Stenosis II: Clinical features and Diagnostic Tests

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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.

Pediatric Cardiology

|November 13, 2012

Summary

This case report details a rare congenital heart defect combining persistent truncus arteriosus type A2, double aortic arch, and mitral stenosis. Surgical interventions, including Fontan completion, led to a positive outcome for the patient.

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Area of Science:

Pediatric Cardiology
Congenital Heart Disease
Surgical Innovation

Background:

Persistent truncus arteriosus type A2 is a rare cyanotic congenital heart defect.
Double aortic arch and mitral stenosis are uncommon co-occurring anomalies.
Complex congenital heart disease requires tailored surgical strategies.

Observation:

A neonate presented with a rare combination of persistent truncus arteriosus type A2, double aortic arch, and mitral stenosis.
Initial surgical management involved division of the right-sided aortic arch and bilateral pulmonary banding.
The patient subsequently underwent staged palliation, including Fontan completion.

Findings:

Successful staged surgical palliation was achieved in a patient with a complex congenital heart defect.
Fontan completion, preceded by bidirectional Glenn anastomosis, proved effective.
The patient demonstrated a positive clinical course 2 years and 6 months post-Fontan completion.

Implications:

This case highlights the feasibility of surgical correction for complex congenital heart defects.
Successful management underscores the importance of staged palliation strategies.
Further research into long-term outcomes for similar complex cases is warranted.