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Common Arterial Trunk with Interrupted Aortic Arch
Lys Molina Hernandes Estephan1, Aline Simões Aranda1, Carlos Henrique De Marchi1
1Department of Pediatrics and Pediatric Surgery, Pediatric Cardiology and Cardiovascular Surgery Service at Hospital da Criança e Maternidade de São José do Rio Preto, São Paulo, Brazil.
Clinical Data:
Patient diagnosed with common arterial trunk, submitted to pulmonary artery banding in another center and lost to clinical follow-up. Referred to our center at four years old, extremely cyanotic. Chest radiography: Cardiomegaly; attenuated peripheral vascular markings. Electrocardiography: Right ventricular hypertrophy. Echocardiography: Common arterial trunk, but it was not possible to analyze all the structures. Computed tomography angiography: Van Praagh type A4 common arterial trunk. Extremely hypoplastic right and left pulmonary arteries.
Diagnosis:
Association of aortic arch interruption type A is uncommon and should be considered.
Operation:
Debanding of pulmonary arteries allowing for possible future complete repair.
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