Truncus arteriosus – long term post repair data

Truncus arteriosus – long term post repair data: Selvan JP and colleagues have recently published the long term follow up data of patients operated early in life for persistent truncus arteriosus [Long-Term Follow-Up of Persistent Truncus Arteriosus: Kuwait Experience. Med Princ Pract. 2012;21:277-81]. They could retrieve the data of twenty four patients of which sixteen had undergone total intracardiac repair, between 1993 and 2009. Children had undergone repair as early as fifteen days and as late as five years. Aortic homograft was used to connect the right ventricle to pulmonary artery in eleven cases while pulmonary homograft was used in four cases. One patient had implantation of a Contegra® conduit (a valved conduit made from bovine jugular vein). Truncal valve repair was needed in four patients for moderate regurgitation. It is heartening to note that there was no death during the follow up period which ranged from three months to almost fourteen years. Half of the patients had to undergo redo homograft operations. One patient required aortic valve replacement after the truncal valve repair, at a later date.

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