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Truncus arteriosus: surviving at 46 years without intervention.

S Williams-Phillips¹

¹Andrews Memorial Hospital, TAI Wing, 27 Hope Road, Kingston 10, Jamaica, West Indies. sandrap@cwjamaica.com

The West Indian Medical Journal

|February 26, 2014

Summary

Truncus arteriosus survival is typically short, but this case study details a 46-year-old male reaching adulthood. This rare survival challenges previous survival expectations for truncus arteriosus.

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Area of Science:

Cardiology
Pediatric Cardiology
Congenital Heart Disease

Background:

Truncus arteriosus is a rare congenital heart defect with historically poor prognosis.
Median survival is typically limited to a few weeks of life.

Observation:

The case involves a 46-year-old male diagnosed with Type 3 truncus arteriosus.
This patient presents with balanced ventricles, a feature noted in long-term survivors.

Findings:

The patient's survival to 46 years significantly exceeds the typical median survival of five weeks.
This represents a rare instance of extended survival for truncus arteriosus, particularly with balanced ventricles.

Implications:

This case highlights the potential for extended survival in select truncus arteriosus patients.
Further research into factors contributing to long-term survival in truncus arteriosus is warranted.
This case contributes unique data to the limited literature on adult truncus arteriosus survivors.