Andersons pediatric cardiology 1070

Recommendations for Long-Term Follow-up Common arterial trunk is a condition for which continued follow-up is recommended by those having special expertise in the care of adults with congenital cardiac disease As discussed, the main issue of significance relates to the fate of the conduit that has been interposed between the right ventricle and the pulmonary circulation If untreated, significant obstruction to the conduit may result in problems in right ventricular performance, exercise tolerance, and arrhythmia and may place the patient at risk of cardiac failure Although it has been recommended that contact sports are avoided, there should be no other restriction to exercise if hemodynamics are good Most patients will be in New York Heart Association functional classes I and II When possible, all patients should undergo a detailed functional assessment before pregnancy, to correct any hemodynamic abnormalities before conception.66 In general, pregnancy is tolerated well, although it is likely that the presence of right ventricular dysfunction increases maternal risk.67 As discussed earlier, there is a risk of recurrence in offspring, in particular when there is known deletion within chromosome 22 Annotated References Freire G, Miller M, Huhta J Foetal echocardiography of transposition of the great arteries and common arterial trunk Cardiol Young 2012;22:671–676 Fogel MA, Crawford M Cardiac magnetic resonance of the common arterial trunk and transposition of the great arteries Cardiol Young 2012;22:677–686 Stapleton GE, Wilmot I, Suh EJ Cardiac catheterisation of patients with common arterial trunk and transposition of the great arteries Cardiol Young 2012;22:687–690 These three articles are from an excellent single edition of Cardiology in The Young, related to common arterial trunk and transposition Breymann T, Blanz U, Wojtalik MA, et al European contegra multicentre study: 7-year results after 165 valved bovine jugular vein graft implantations Thorac Cardiovasc Surg 2009;57:257–269 This is an important multicenter report on the outcomes for patients who underwent insertion of the Contegra conduit Patrick WL, Mainwaring RD, Carrillo SA, et al Anatomic factors associated with truncal valve insufficiency and the need for truncal valve repair World J Pediatr Congenit Heart Surg 2016;7:9–15 Russell HM, Pasquali SK, Jacobs JP, et al Outcomes of repair of common arterial trunk with truncal valve surgery: a review of the society of thoracic surgeons congenital heart surgery database Ann Thorac Surg 2012;93(1):164–169 These articles provide excellent considerations of the issues related to the difficult problem of truncal valvar insufficiency Naimo PS, Fricke TA, Yong MS, et al Outcomes of truncus arteriosus repair in children: 35 years of experience from a single institution Semin Thorac Cardiovasc Surg 2016;28:500–511 Asagai S, Inai K, Shinohara T, et al Long-term outcomes after truncus arteriosus repair: a single-center experience for more than 40 years Congenit Heart Dis 2016;11:672–677 These are two important, recent articles describing the long-term outcomes for patients after repair of common arterial trunk Mavroudis C, Jonas RA, Bove EL Personal glimpses into the evolution of truncus arteriosus repair World J Pediatr Congenit Heart Surg  ... trunk and transposition of the great arteries Cardiol Young 2012;22:687–690 These three articles are from an excellent single edition of Cardiology in The Young, related to common arterial trunk and transposition Breymann T, Blanz U, Wojtalik MA, et al