Surgical treatment of patients with truncus arteriosus and intractable heart failure in infancy is controversial, results with both pulmonary banding and total repair being disappointing. Total repair was carried out in 4 infants. The smallest one (1 mth, 2.4 kg) died 16 hr after the operation from low cardiac output. Technical reasons were found for this death. The other 3 patients survived the operation. One (4 mth, 3.7 kg) died suddenly at home after 6 mth. Another (12 mth, 6 kg) got a severe paratyphus infection and died still in good hemodynamic status 2 mth postoperatively. The third (24 mth) is completely asymptomatic and growing and developing well 15 mth after the repair. Sick infants with truncus arteriosus still represent a difficult surgical problem, but are probably better managed with total repair than with banding.
|Translated title of the contribution||Surgical repair of truncus arteriosus in infancy|
|Number of pages||6|
|Publication status||Published - 1977|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine