Skip to main content
SpringerLink
Log in

Persistent truncus arteriosus on dual source CT

  • Pictorial Essay
  • Published:
Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

Persistent truncus arteriosus is a rare congenital cardiac disease with variable presentation. The exact preoperative diagnosis and delineation of anatomy are very important because the optimal timing and procedure for truncus arteriosus repair are decided on the basis of the morphological characteristics. Moreover, the presence of associated anomalies influences the surgical outcome and mortality in these patients. Dual-source computed tomographic evaluation with three-dimensional post-processing is highly valuable for delineating its precise morphology and to identify and characterize the associated anomalies. Also depiction of the precise aortic arch morphology and simultaneous evaluation of the airway are very useful in treatment planning. This pictorial review provides an overview of the imaging spectrum of truncus arteriosus and various associated anomalies as seen on dual-source computed tomography.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15

Similar content being viewed by others

References

  1. Cifarelli A, Ballerini L. Truncus arteriosus. Pediatr Cardiol. 2003;24:569–73.

    Article  Google Scholar 

  2. Koplay M, Cimen D, Sivri M, Güvenc O, Arslan D, Nayman A, et al. Truncus arteriosus: diagnosis with dual source computed tomography angiography and low radiation dose. World J Radiol. 2014;6(11):886–9.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Mahesh M. Advances in CT technology and application to pediatric imaging. Pediatr Radiol. 2011;41(Suppl 2):493–7.

    Article  PubMed  Google Scholar 

  4. Klink T, Müller G, Weil J, Dodge-Khatami A, Adam G, Bley TA. Cardiovascular computed tomography angiography in newborns and infants with suspected congenital heart disease: retrospective evaluation of low-dose scan protocols. Clin Imaging. 2012;36(6):746–53.

    Article  PubMed  Google Scholar 

  5. Ferdman B, Singh G. Persistent truncus arteriosus. Curr Treat Options Cardiovasc Med. 2003;5(4):429–38.

    Article  PubMed  Google Scholar 

  6. Hallermann FJ, Kincaid OW, Tsakiris AG, Ritter DG, Titus JL. Persistent truncus arteriosus. A radiographic and angiocardiographic study. Am J Roentgenol Radium Ther Nucl Med. 1969;107(4):827–34.

    Article  CAS  PubMed  Google Scholar 

  7. Mittal SK, Mangal Y, Kumar S, Yadav RR. Truncus arteriosus Type 1: a case report. Ind J Radiol Imaging. 2006;2:229–31.

    Article  Google Scholar 

  8. Fyler DC. Origin of a pulmonary artery from the aorta (hemitruncus). In: Fyler DC, editor. Nadas’ pediatric cardiology. Philadelphia: Hanley and Belfus; 1993. p. 697–9.

    Google Scholar 

  9. Thankavel PP, Brown PS, Nugent AW. High-takeoff single coronary artery with intramural course in truncus arteriosus: prospective echocardiographic identification. Pediatr Cardiol. 2013;34:1517–9.

    Article  PubMed  Google Scholar 

  10. Mittal K, Dey AK, Gadewar R, Sharma R, Pandit N, Rajput P, et al. Rare case of truncus arteriosus with anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) and unilateral left pulmonary artery agenesis. Jpn J Radiol. 2015;33:220–4.

    Article  PubMed  Google Scholar 

  11. Khan MAA. The diagnostic approach to truncus arteriosus: medical aspects. In: Lue HC, editor. Pediatric cardiology updates. Japan: Springer; 1997. p. 23–30.

    Chapter  Google Scholar 

  12. Alboliras ET, Lombardo S, Antillon J. Truncus arteriosus with double aortic arch: two-dimensional and color flow Doppler echocardiographic diagnosis. Am Heart J. 1995;129(2):415–7.

    Article  CAS  PubMed  Google Scholar 

  13. Liang PH, Chen MR, Shyur SD, Lee YJ, Lin SP, Yu MT, et al. DiGeorge syndrome with truncus arteriosus: report of one case. Acta Paediatr Taiwan. 2004;45(3):174–7.

    PubMed  Google Scholar 

  14. Genç B, Okur FF, Tavlı V, Solak A. Truncus arteriosus with persistent left superior vena cava: cardiac computed tomography findings in an unrepaired adult patient. J Clin Imaging Sci. 2013;3:47. doi:10.4103/2156-7514.120787.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Conte S, Jensen T, Jacobsen JR, Joyce FS, Lauridsen P, Pettersson G. One-stage repair of truncus arteriosus, CAVC, and TAPVC. Ann Thorac Surg. 1997;63(6):1781–3.

    Article  CAS  PubMed  Google Scholar 

  16. Leschka S, Oechslin E, Husmann L, Desbiolles L, Marincek B, Genoni M, et al. Pre- and postoperative evaluation of congenital heart disease in children and adults with 64-section CT. Radiographics. 2007;27(3):829–46.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiac Radiology, All India Institute of Medical Sciences (AIIMS), New Delhi, 110029, India

    Arun Sharma, Sarv Priya & Priya Jagia

Authors
  1. Arun Sharma
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sarv Priya
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Priya Jagia
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Priya Jagia.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical statement

All procedures were in accordance with ethical standards for human experimentation and the Helsinki Declaration.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sharma, A., Priya, S. & Jagia, P. Persistent truncus arteriosus on dual source CT. Jpn J Radiol 34, 486–493 (2016). https://doi.org/10.1007/s11604-016-0559-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-016-0559-x

Keywords

Search

Navigation