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Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria

Received: 29 March 2022    Accepted: 25 April 2022    Published: 24 May 2022
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Abstract

Background: Truncus arteriosus (TA) is a rare complex cyanotic congenital heart disease (CCHD) with significant morbidity and mortality. There are few reports on the pattern of TA in Nigeria. Objectives: To determine the pattern of TA in patients at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Methods: A three-year retrospective audit of the hospital records including echocardiograms and cardiac tomography scans where available, of consecutive patients diagnosed with TA was undertaken. Results: Twenty children, 10 boys and 10 girls had TA; median age at diagnosis was 6.5 months, range: 11 days-90 months, mean (SD): 16.8 ± 21.8 months. The mean weight was 7.3 ± 4.4 kg, range: 2.65-17.0 kg and the mean oxygen saturation was 72.5 ± 17.3%, range: 36-89%. Sixteen children (80.0%) had type I and 4 (20.0%) had type II TA. Types III and IV TA were not seen. The truncal valve was tricuspid in 12 (60.0%), quadricuspid in 7 (35.0%) patients, and bicuspid in one (5.0%) patient. Truncal valve regurgitation occurred in 10 (50.0%) patients; 60.0% were mild. Associated cardiac defects included patent ductus arteriosus [PDA (15.0%)], mitral atresia (15%), atrial septal defects, major aortopulmonary collateral arteries (10%), left superior vena cava (5%), tricuspid atresia (5%), common atrium (5%). Conclusions: Although TA is a critical CCHD, diagnosis is often late in our setting. Type I is the most common variant and associated anomalies include PDA, mitral and tricuspid atresia.

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 8, Issue 3)
DOI 10.11648/j.ijcts.20220803.11
Page(s) 24-28
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Truncus Arteriosus, Pattern, Echocardiogram, Associated Anomalies

References
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[3] Chen Q, Gao H, Hua Z, Yang K, Yan J, Zhang H, et al. Outcomes of surgical repair for persistent truncus arteriosus from neonates to adults: A single center's experience. PLoS One 2016; 11 (1): e0146800.
[4] Brown JW, Ruzmetov M, Okada Y, Vijay P, Turrentine MW. Truncus arteriosus repair: outcomes, risk factors, reoperation and management. Eur J Cardiothorac Surg 2001; 20 (2): 221-227.
[5] Cabalka AK, Edwards WD, Dearani JA. Truncus Arteriosus In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF, ed. Moss and Adams’ Heart Disease in Infants, Children, and Adolescents, 7th Edition. Volume 1. Philadelphia, USA: Lippincott Williams and Wilkins, 2008: 888-910.
[6] Collett R, Edwards J. Persistent truncus arteriosus: A classification according to anatomic types. Surg Clin North Am 1949; 29 (4): 1245-1270.
[7] Van Praagh R, Van Praagh S. The anatomy of common aorticopulmonary trunk (truncus arteriosus communis) and its embryologic implications: a study of 57 necropsy cases. Am J Cardiol 1965; 16: 406-425.
[8] Chikkabyrappa S, Mahadevaiah G, Buddhe S, Alsaied T, Tretter J. Common Arterial Trunk: Physiology, Imaging, and Management. Semin Cardiothorac Vasc Anesth 2019; 23 (2): 225-236.
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  • APA Style

    Olukemi Bamigboye-Taiwo, John Akintunde Okeniyi, Babajide Samson Adeyefa, Olugbenga Olalekan Ojo, Uvie Ufuoma Onakpoya, et al. (2022). Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria. International Journal of Cardiovascular and Thoracic Surgery, 8(3), 24-28. https://doi.org/10.11648/j.ijcts.20220803.11

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    ACS Style

    Olukemi Bamigboye-Taiwo; John Akintunde Okeniyi; Babajide Samson Adeyefa; Olugbenga Olalekan Ojo; Uvie Ufuoma Onakpoya, et al. Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria. Int. J. Cardiovasc. Thorac. Surg. 2022, 8(3), 24-28. doi: 10.11648/j.ijcts.20220803.11

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    AMA Style

    Olukemi Bamigboye-Taiwo, John Akintunde Okeniyi, Babajide Samson Adeyefa, Olugbenga Olalekan Ojo, Uvie Ufuoma Onakpoya, et al. Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria. Int J Cardiovasc Thorac Surg. 2022;8(3):24-28. doi: 10.11648/j.ijcts.20220803.11

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  • @article{10.11648/j.ijcts.20220803.11,
      author = {Olukemi Bamigboye-Taiwo and John Akintunde Okeniyi and Babajide Samson Adeyefa and Olugbenga Olalekan Ojo and Uvie Ufuoma Onakpoya and Joel Oghenevware Eyekpegha and Abayomi Oguns},
      title = {Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {8},
      number = {3},
      pages = {24-28},
      doi = {10.11648/j.ijcts.20220803.11},
      url = {https://doi.org/10.11648/j.ijcts.20220803.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20220803.11},
      abstract = {Background: Truncus arteriosus (TA) is a rare complex cyanotic congenital heart disease (CCHD) with significant morbidity and mortality. There are few reports on the pattern of TA in Nigeria. Objectives: To determine the pattern of TA in patients at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Methods: A three-year retrospective audit of the hospital records including echocardiograms and cardiac tomography scans where available, of consecutive patients diagnosed with TA was undertaken. Results: Twenty children, 10 boys and 10 girls had TA; median age at diagnosis was 6.5 months, range: 11 days-90 months, mean (SD): 16.8 ± 21.8 months. The mean weight was 7.3 ± 4.4 kg, range: 2.65-17.0 kg and the mean oxygen saturation was 72.5 ± 17.3%, range: 36-89%. Sixteen children (80.0%) had type I and 4 (20.0%) had type II TA. Types III and IV TA were not seen. The truncal valve was tricuspid in 12 (60.0%), quadricuspid in 7 (35.0%) patients, and bicuspid in one (5.0%) patient. Truncal valve regurgitation occurred in 10 (50.0%) patients; 60.0% were mild. Associated cardiac defects included patent ductus arteriosus [PDA (15.0%)], mitral atresia (15%), atrial septal defects, major aortopulmonary collateral arteries (10%), left superior vena cava (5%), tricuspid atresia (5%), common atrium (5%). Conclusions: Although TA is a critical CCHD, diagnosis is often late in our setting. Type I is the most common variant and associated anomalies include PDA, mitral and tricuspid atresia.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria
    AU  - Olukemi Bamigboye-Taiwo
    AU  - John Akintunde Okeniyi
    AU  - Babajide Samson Adeyefa
    AU  - Olugbenga Olalekan Ojo
    AU  - Uvie Ufuoma Onakpoya
    AU  - Joel Oghenevware Eyekpegha
    AU  - Abayomi Oguns
    Y1  - 2022/05/24
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ijcts.20220803.11
    DO  - 10.11648/j.ijcts.20220803.11
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
    SP  - 24
    EP  - 28
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20220803.11
    AB  - Background: Truncus arteriosus (TA) is a rare complex cyanotic congenital heart disease (CCHD) with significant morbidity and mortality. There are few reports on the pattern of TA in Nigeria. Objectives: To determine the pattern of TA in patients at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Methods: A three-year retrospective audit of the hospital records including echocardiograms and cardiac tomography scans where available, of consecutive patients diagnosed with TA was undertaken. Results: Twenty children, 10 boys and 10 girls had TA; median age at diagnosis was 6.5 months, range: 11 days-90 months, mean (SD): 16.8 ± 21.8 months. The mean weight was 7.3 ± 4.4 kg, range: 2.65-17.0 kg and the mean oxygen saturation was 72.5 ± 17.3%, range: 36-89%. Sixteen children (80.0%) had type I and 4 (20.0%) had type II TA. Types III and IV TA were not seen. The truncal valve was tricuspid in 12 (60.0%), quadricuspid in 7 (35.0%) patients, and bicuspid in one (5.0%) patient. Truncal valve regurgitation occurred in 10 (50.0%) patients; 60.0% were mild. Associated cardiac defects included patent ductus arteriosus [PDA (15.0%)], mitral atresia (15%), atrial septal defects, major aortopulmonary collateral arteries (10%), left superior vena cava (5%), tricuspid atresia (5%), common atrium (5%). Conclusions: Although TA is a critical CCHD, diagnosis is often late in our setting. Type I is the most common variant and associated anomalies include PDA, mitral and tricuspid atresia.
    VL  - 8
    IS  - 3
    ER  - 

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Author Information
  • Paediatric Cardiology Unit, Department of Paediatrics, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

  • Paediatric Cardiology Unit, Department of Paediatrics, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

  • Paediatric Cardiology Unit, Department of Paediatrics, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

  • Cardiothoracic Surgical Unit, Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

  • Cardiothoracic Surgical Unit, Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

  • Cardiothoracic Surgical Unit, Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

  • Cardiothoracic Surgical Unit, Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

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