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Clinical Observation of Truncus Arteriosus.

Journal of the Korean Pediatric Society 1987;30(1):45-54.
Published online January 31, 1987.
Clinical Observation of Truncus Arteriosus.
Sang Kyu Park, Young Soo Kim, Sejung Sohn, Chung Il Noh, Jung Yun Choi, Yong Soo Yun, Chang Yee Hong
Department of Pediatrics, College of Medicine, Seoul National University
총동맥간증에 대한 임상적 관찰
박상규, 김영수, 손세정, 노정일, 최정연, 윤용수, 홍창의
서올대학교 의과대학 소아과학교실
This is the report on 10 cases of truncus arteriosus, experienced at the Seoul National University Hospital, during past 7 years from Jan. 1979 to Dec. 1985. The results of observations were as follows; 1) There were 6 males and 4 females, and according to Collett and Edwards’ classification, 5 cases were in type 1, 4 case were in type II and 1 case in type IH. 2) Presenting symptoms and signs were cyanosis (90%), congestive heart failure (80%), single 2nd heart sound (50%), ejection systolic click (40%). 3) Simple chest X-ray showed cardiomegaly in 9 cases and increased pulmonary vascularity in 8 cases. 4) The mean value of pulse pressure was 41.2 mmHg, and mean oxygen saturation of truncus was 81.8%. Pressure gradients between truncus and pulmonary artery were below 8 mmHg in 8 cases. 5) Rastelli operation was done in 2 cases with good result.
Key Words: Truncus arteriosus.

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