Surgical treatment of truncus arteriosus, with emphasis on infants and small children

A. Appelbaum, L. M. Bargeron, A. D. Pacifico, J. W. Kirklin

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Two of 10 children with truncus arteriosus, Type I, II, less than 2 years of age, 6 of 7 between 2 and 5 years of age, and all 5 older than 5 years survived after complete repair. Five of the nine hospital deaths are believed related to inadequate intra and postoperative management. One late death has occurred 42 months postoperatively. The low hospital mortality rates in those 2 years of age and older, good long term results to date, and the poor prognosis of children not operated upon indicate the advisability of elective repair at age 2 to 3 years. Although results in infants less than 2 years old have not been good, current improvements of intra and postoperative care and the lack of a better alternative suggest that prompt primary repair is indicated for infants with intractable heart failure or increasing pulmonary vascular resistance.

Original languageEnglish
Pages (from-to)436-440
Number of pages5
JournalJournal of Thoracic and Cardiovascular Surgery
Issue number3
StatePublished - 1 Jan 1976
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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