Nagaraja P S, Singh Naveen G, Simha Parimala Prasanna, Davan K R, Manjunath V, Jagadeesh A M
Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
Ann Card Anaesth. 2015 Apr-Jun;18(2):234-6. doi: 10.4103/0971-9784.154487.
Truncus arteriosus (TA) is a rare congenital heart disease defined as a single arterial vessel arising from the heart that gives origin to the systemic, pulmonary and coronary circulations. The truncal valve in majority of the cases is tricuspid though quadricuspid and bicuspid valves have been reported. Patients with TA typically have a large nonrestrictive sub truncal ventricular septal defect. Survival of these infants beyond 1-year is uncommon. Here, we report a unique case of 12-year-old female patient with persistent TA who underwent surgical repair by using transesophageal echocardiography as a monitoring device during the perioperative management.
永存动脉干（TA）是一种罕见的先天性心脏病，定义为起源于心脏的单一动脉血管，为体循环、肺循环和冠状动脉循环供血。大多数情况下，动脉干瓣膜为三尖瓣，不过也有报道称存在四尖瓣和二尖瓣。TA患者通常有一个大的非限制性动脉干下室间隔缺损。这些婴儿1岁以后存活并不常见。在此，我们报告一例独特的病例，一名12岁女性永存动脉干患者，在围手术期管理中使用经食管超声心动图作为监测设备进行了手术修复。
