ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Staged surgical treatment in an infant with left hemitruncus
Abdullah Özyurt1, Hakan Ceyran2, Ali Baykan1, Mustafa Argun1, Özge Pamukçu1, Kazım Üzüm1, Nazmi Narin1
Department of Pediatric Cardiology, Medical Faculty of Erciyes University, Kayseri, Turkey
1Department of Pediatric Cardiology, Medical Faculty of Erciyes University, Kayseri, Turkey
2Department of Cardiovascular Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.8762
Left hemitruncus (aortic anomalous origin of the left pulmonary artery) is relatively rare than the right hemitruncus. Early diagnosis is critical to prevent early occurrence of pulmonary vascular obstructive disease in the left pulmonary bed in patients with tetralogy of Fallot presenting with left hemitruncus arteriosus. To the best of our knowledge, there are only five surviving cases with left hemitruncus and tetralogy of Fallot who were operated in the first decade of life in the literature. Any pediatric case undergoing staged surgery with full recovery has not been reported yet in the literature. In this article, we report a one-year-old girl with tetralogy of Fallot and left hemitruncus with a late diagnosis who underwent staged correction surgery with palliative left pulmonary artery banding followed by total repair.
Keywords : Child; congenital heart disease; hemitruncus; pulmonary hypertension; right arcus aorta; selective pulmonary banding; tetralogy of Fallot
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