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      Prenatal diagnosis of the rare association of common arterial trunk and double aortic arch

      case-report

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          Key Clinical Message

          Common arterial trunk with associated double aortic arch is a very rare constellation of congenital heart disease. Prenatal diagnosis allows for surgical repair prior to development of respiratory morbidity, which is otherwise described in all cases with this association.

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          Most cited references7

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          A simplified categorization for common arterial trunk.

          A common arterial trunk is a solitary trunk that exits the heart through a common ventriculo-arterial junction and supplies directly the systemic, pulmonary, and coronary arterial pathways. It remains to be determined, however, how best to subclassify those hearts fulfilling this definition. The time-honored classification is based on the morphology of the pulmonary arteries, but an alternative approach also places emphasis on the nature of the systemic pathways. We evaluated our experience to establish whether these different approaches can be reconciled.
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            Truncus arteriosus with double aortic arch: two-dimensional and color flow Doppler echocardiographic diagnosis.

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              Persistent truncus arteriosus with double aortic arch and mitral stenosis.

              This report describes a case involving the rare combination of persistent truncus arteriosus type A2, double aortic arch, and mitral stenosis. At the age of 26 days, the patient underwent division of the right-sided aortic arch with tracheal compression and bilateral pulmonary banding. Fontan completion was successfully achieved after separation of the pulmonary artery from the arterial trunk, atrial septostomy, and modified Blalock-Taussig shunt at the age of 7 months and bilateral bidirectional Glenn anastomosis at the age of 1 year and 3 months. At this writing, the patient is doing well 2 years and 6 months after Fontan completion.
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                Author and article information

                Journal
                Clin Case Rep
                Clin Case Rep
                10.1002/(ISSN)2050-0904
                CCR3
                Clinical Case Reports
                John Wiley and Sons Inc. (Hoboken )
                2050-0904
                02 June 2016
                July 2016
                : 4
                : 7 ( doiID: 10.1111/ccr3.2016.4.issue-7 )
                : 668-670
                Affiliations
                [ 1 ] Ann & Robert H Lurie Children's Hospital of ChicagoNorthwestern University Feinberg School of Medicine Chicago ILUSA
                Author notes
                [*] [* ] Correspondence

                Andrea Rock, Loma Linda Pediatric Cardiology, 11234 Anderson St, Suite 1617, Loma Linda, CA 92354, USA. Tel: +909 558 4207; Fax: +909 558 0138; E‐mail: arock@ 123456llu.edu

                Article
                CCR3573
                10.1002/ccr3.573
                4929802
                27386125
                b8d0e3af-f985-4c20-8c81-d15391e1b562
                © 2016 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 15 January 2016
                : 09 March 2016
                : 06 April 2016
                Page count
                Pages: 3
                Categories
                Case Report
                Case Reports
                Custom metadata
                2.0
                ccr3573
                July 2016
                Converter:WILEY_ML3GV2_TO_NLMPMC version:4.9.1 mode:remove_FC converted:06.07.2016

                common arterial trunk,double aortic arch,prenatal,vascular ring

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