Andersons pediatric cardiology 1360
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pulmonarytrunk.Athird“intermediate”trunkwasdiscoveredbetweentheaorta
andpulmonarytrunk,anteriorandslightlyleftwardoftheaorta,arisingfromthe
leftventriclewitharudimentaryvalveofitsown,andgivingrisetotherightPA.
Inthiscase,noothercardiacanomaliesexisted.Thepatientdiedat4yearsof
ageofintractableheartfailure.Pelletierdescribedanalmostidenticalcasein
2009,inwhomasuccessfulrepairwasperformed.88Inboththesecasesthe
presenceofathirdarterialtrunkwasanisolatedanomaly,inthesettingofan
otherwisenormalheart.AmorerecentreportbyTingo87describedauniquecase
inwhichthreearterialtrunksaroseentirelyfromtherightventricle,resultingina
“triple-outletrightventricle”withaposteriormalalignmentVSDandatypeb
interruptionoftheaorticarch.Similartothetwopreviouslypublishedcases,the
intermediatetrunkgaveriseonlytotherightPA.Thepatientunderwent
reimplantationoftherightPAintothemainPA,aorticarchrepair,andbanding
ofthemainPAbutsuccumbedtoinfectionat6monthsofage.
AnnotatedReferences
AndersonRH,ChaudhryB,MohunTJ,etal.
Normalandabnormaldevelopmentofthe
intrapericardialarterialtrunksinhumansand
mice.CardiovascRes.2012;95(1):108–115.
Thisarticleprovidesobjectiveevidenceof
mechanismsleadingtoAPwindowclosureinthe
developingintrapericardialarterialtrunksand
offersinsightstotheformationofAPwindow
anditsvariants.
BarnesME,MitchellME,TweddellJ.
Aortopulmonarywindow.SeminThorac
CardiovascSurgPediatrCardSurgAnnu.
2011;14(1):67–74.
Thisisarelativelylargestudydescribing
contemporaryapproachandoutcomesof
surgicalrepairofAPwindowanditsvariants.
AndersonRH,CookA,BrownNA,etal.
Developmentoftheoutflowtractswith
referencetoaortopulmonarywindowsand
aortoventriculartunnels.CardiolYoung.
2010;20(suppl3):92–99.
Thisisacomprehensivereviewprovidinginsights
intotheembryologyandanatomyof
aortopulmonarywindowsandaortoventricular
tunnels.
MartinsJD,SherwoodMC,MayerJEJr,KeaneJF.
Aortico-leftventriculartunnel:35-year
experience.JAmCollCardiol.2004;44(2):446–
450.
Giventherareoccurrenceofaorto–leftventricular
tunnels,this35-yearexperienceof11patients
providesinsightsintothetreatmentandnatural
historyofthislesion.
HorvathP,BalajiS,SkovranekS,etal.Surgical
treatmentofaortico-leftventriculartunnel.EurJ
CardiothoracSurg.1991;5(3):113–116
[discussion117].
Thisarticledescribesthesurgicalexperienceof13
patientswithaorto–leftventriculartunnels.
Mild-moderateaorticregurgitationwasnotedin
2outof12survivorsduringanintermediatetermfollow-up.
Meldrum-HannaW,SchroffR,RossDN.Aorticoleftventriculartunnel:latefollow-up.Ann
ThoracSurg.1986;42(3):304–306.
Althoughasmallnumberofpatientswithaorto–
leftventriculartunnelswerefollowedinthis
report(sixpatients),halfofthemneededaortic
valvereplacementinthelongterm,highlighting
progressionofaorticregurgitationafteraorto–
leftventriculartunnelsarerepaired.
