Perioperative and Anesthetic Considerations in Truncus Arteriosus. (September 2018)

• Record Type: Journal Article
• Authors: Parikh, Rishi; Eisses, Michael; Latham, Gregory J.; Joffe, Denise C.; Ross, Faith J.
• Is Part Of: Seminars in cardiothoracic and vascular anesthesia. Volume 22:Number 3(2018)
• Page Start: 285
• Page End: 293
• Publication Date: 2018-09
• Subjects: cardiac anesthesia -- cardiac surgery -- congenital heart disease -- truncus arteriosus; Cardiovascular system -- Surgery -- Methods -- Periodicals; Chest -- Surgery -- Methods -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Cardiovascular Surgical Procedures -- methods -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; 617.96
• DOI: 10.1177/1089253218778826
• Languages: English
• ISSNs: 1089-2532

Abstract

Truncus arteriosus is a congenital cardiac lesion in which failure of embryonic truncal septation results in a single semilunar valve and single arterial trunk providing both pulmonary and systemic circulations. Most patients with this lesion are symptomatic in the neonatal period with cyanosis and/or congestive heart failure and undergo complete repair in the first weeks of life. This review will focus on the anatomy, physiology, and perioperative anesthetic management of patients with truncus arteriosus.