3.8 Article

Surgical Repair of a Rare Variant of Common Arterial Trunk, With Considerations of its Significance for Morphogenesis

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SAGE PUBLICATIONS INC
DOI: 10.1177/21501351231162912

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common arterial trunk; outflow tract; aortic dominance; lecompte maneuver

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We successfully performed surgical repair on a rare variant of the common arterial trunk with unusual arrangement of the pulmonary arteries. This variant cannot be easily classified using popular classifications for the common arterial trunk. However, we provide a detailed account of cardiac development that offers an accurate explanation for its morphogenesis.
We present a successful surgical repair of a rare variant of the common arterial trunk with unusual arrangement of the pulmonary arteries. The variant was not readily classified using either of the popular classifications for the common arterial trunk. It is appropriately described as a common arterial trunk showing aortic dominance, but with extrapericardial origin of the pulmonary arteries from the underside of the truncal arch. We also provide an account of cardiac development, which we suggest offers an accurate explanation for its morphogenesis.

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