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10.5606/tgkdc.dergisi.2014.8762
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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