All issues > Volume 30(1); 1987

Original Article

J Korean Pediatr Soc. 1987;30(1):45-54. Published online January 31, 1987.

Clinical Observation of Truncus Arteriosus.

Sang Kyu Park¹, Young Soo Kim¹, Sejung Sohn¹, Chung Il Noh¹, Jung Yun Choi¹, Yong Soo Yun¹, Chang Yee Hong¹

¹Department of Pediatrics, College of Medicine, Seoul National University

Abstract

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.

Keywords :Truncus arteriosus.