Materiały źródłowe

• #1 Truncus Arteriosus Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/892489-treatment

  No known methods to prevent the development of truncus arteriosus in the fetus are known. […] On screening obstetric ultrasonography findings, 4-chamber and great vessel views are sufficient to identify that cardiac anomalies are present. […] In such an event, the parents should be referred for fetal echocardiography, with which the anatomy of truncus arteriosus can be more fully defined. […] Diagnosis in utero allows for greater parental choice, and may facilitate planned delivery at a tertiary care center and immediate neonatal stabilization, thus preventing the potential hemodynamic sequelae that can result from the natural history of the lesion.

• #2 Truncus arteriosus – Sandra Atlas Bass Heart Hospital | Northwell Health

  https://nsuh.northwell.edu/heart-hospital/find-care/conditions/truncus-arteriosus

  Truncus arteriosus cannot be prevented, but early treatment often can prevent serious complications.

• #3 Truncus arteriosus – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube

  https://www.augustahealth.com/disease/truncus-arteriosus/

  In most cases, congenital heart defects such as truncus arteriosus can’t be prevented. If you have a family history of heart defects or if you already have a child with a congenital heart defect, you and your partner might consider talking with a genetic counselor and a cardiologist experienced in congenital heart defects before you make a decision about becoming pregnant. […] If you’re thinking about becoming pregnant, there are several steps you can take to help ensure a healthy baby, including: […] Getting vaccinated before getting pregnant. Certain viruses, such as German measles (rubella), can be harmful during pregnancy, so it’s important to make sure your immunizations are up to date before you get pregnant. […] Avoiding dangerous medications. Check with your doctor before taking any medications if you’re pregnant or thinking about becoming pregnant. Many drugs aren’t recommended for use during pregnancy.

• #4 Truncus Arteriosus

  https://scts.org/patients/congenital/procedures/36/truncus_arteriosus/

  In most cases, congenital heart defects such as truncus arteriosus can’t be prevented. If you have a family history of heart defects or if you already have a child with a congenital heart defect, you and your partner might consider talking with a genetic counsellor and a cardiologist experienced in congenital heart defects before you make a decision about becoming pregnant. […] If you’re thinking about becoming pregnant, there are several steps you can take to help ensure a healthy baby, including: […] Getting vaccinated before getting pregnant. Certain viruses, such as German measles (rubella), can be harmful during pregnancy, so it’s important to make sure your immunizations are up to date before you get pregnant. […] Avoiding dangerous medications. Check with your doctor before taking any medications if you’re pregnant or thinking about becoming pregnant. Many drugs aren’t recommended for use during pregnancy.

• #5 Truncus arteriosus – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/truncus-arteriosus/symptoms-causes/syc-20364247

  Because the cause is unclear, it may not be possible to prevent truncus arteriosus. Getting good prenatal care is important. If you or someone in your family had a heart condition present at birth, talk to your healthcare professional before getting pregnant. You might need to see a genetic counselor and a heart doctor, called a cardiologist. […] If you decide to get pregnant, taking these steps can help keep your baby healthy: […] Get recommended vaccinations. Some infections can be harmful to a developing baby. For example, having German measles also called rubella during pregnancy can cause changes in a baby’s heart development. A blood test done before pregnancy can show if you’re immune to rubella. A vaccine is available for those who aren’t immune. […] Talk to your healthcare professional about your medicines. Check with your healthcare professional before taking any medicines if you’re pregnant or thinking about getting pregnant. Many drugs aren’t recommended for use during pregnancy because they can harm a developing baby.

• #6 Truncus arteriosus: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001111.htm

  There is no known prevention. Early treatment can often prevent serious complications. […] Women who plan to become pregnant should be immunized against rubella if they are not already immune. Rubella infection in a pregnant woman can cause congenital heart disease. […] Women who are pregnant should get good prenatal care: […] Avoid alcohol and illegal drugs during pregnancy. […] Tell your provider that you are pregnant before taking any new medicines. […] Have a blood test early in your pregnancy to see if you are immune to rubella. If you are not immune, avoid any possible exposure to rubella and get vaccinated right after delivery. […] Pregnant women who have diabetes should try to get good control over their blood sugar level. […] Some inherited factors may play a role in congenital heart disease. Many family members may be affected. If you are planning to get pregnant, talk to your provider about screening for genetic diseases.

• #7

  https://continentalhospitals.com/diseases/truncus-arteriosus/

  Prenatal Care: Adequate prenatal care is essential for monitoring the health of both the mother and the developing fetus. Regular prenatal check-ups allow healthcare providers to identify and manage any potential risk factors that may contribute to congenital heart defects. […] Avoiding Teratogens: Certain medications, chemicals, and substances, known as teratogens, can increase the risk of congenital heart defects when consumed during pregnancy. Pregnant women should avoid smoking, alcohol, illicit drugs, and unnecessary medications unless prescribed by a healthcare provider. […] Healthy Lifestyle Choices: Maintaining a healthy lifestyle before and during pregnancy can reduce the risk of congenital heart defects. This includes eating a balanced diet, exercising regularly, managing chronic medical conditions (such as diabetes or hypertension), and maintaining a healthy weight.

• #8 Truncus Arteriosus | Baptist Health

  https://www.baptisthealth.com/care-services/conditions-treatments/truncus-arteriosus

  Truncus arteriosus is a rare congenital heart defect. There is no consensus in the medical community on definitive truncus arteriosus causes. However, there are known risk factors for the condition. These risk factors increase the likelihood of a baby being born with the heart defect. […] Smoking during pregnancy increases the risk of delivering a baby with truncus arteriosus. […] Pregnant women who meet the medical definition of obese are at higher risk of giving birth to a baby with heart defects. […] Untreated or insufficiently treated Diabetes can increase the risk of your baby being born with birth defects. […] Doctors often ask pregnant women to avoid many medications during pregnancy because of risks to the baby. […] Drinking alcohol during the first trimester of a pregnancy increases the risk of a baby developing truncus arteriosus.

• #9

  https://continentalhospitals.com/diseases/truncus-arteriosus/

  Prenatal Care: Adequate prenatal care is essential for monitoring the health of both the mother and the developing fetus. Regular prenatal check-ups allow healthcare providers to identify and manage any potential risk factors that may contribute to congenital heart defects. […] Avoiding Teratogens: Certain medications, chemicals, and substances, known as teratogens, can increase the risk of congenital heart defects when consumed during pregnancy. Pregnant women should avoid smoking, alcohol, illicit drugs, and unnecessary medications unless prescribed by a healthcare provider. […] Healthy Lifestyle Choices: Maintaining a healthy lifestyle before and during pregnancy can reduce the risk of congenital heart defects. This includes eating a balanced diet, exercising regularly, managing chronic medical conditions (such as diabetes or hypertension), and maintaining a healthy weight.

• #10 Truncus arteriosus – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/truncus-arteriosus/symptoms-causes/syc-20364247

  Take a folic acid supplement. Take a multivitamin with folic acid. Taking 400 micrograms of folic acid daily has been shown to reduce brain and spinal cord conditions in babies. It may help reduce the risk of heart conditions present at birth too. […] Control diabetes. If you have diabetes, ask your healthcare professional how to best manage the disease during pregnancy.

• #11 Truncus arteriosus – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube

  https://www.augustahealth.com/disease/truncus-arteriosus/

  Taking folic acid. One of the few steps you can take to help prevent birth defects, including spinal cord, brain and possibly heart defects, is to take 400 micrograms of folic acid daily. […] Controlling diabetes. If you’re a woman with diabetes, talk to your doctor about pregnancy risks associated with diabetes and how best to manage the disease during your pregnancy.

• #12 Truncus Arteriosus

  https://scts.org/patients/congenital/procedures/36/truncus_arteriosus/

  Taking folic acid. One of the few steps you can take to help prevent birth defects, including spinal cord, brain and possibly heart defects, is to take 400 micrograms of folic acid daily. […] Controlling diabetes. If you’re a woman with diabetes, talk to your doctor about pregnancy risks associated with diabetes and how best to manage the disease during your pregnancy.

• #13 Truncus arteriosus: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001111.htm

  There is no known prevention. Early treatment can often prevent serious complications. […] Women who plan to become pregnant should be immunized against rubella if they are not already immune. Rubella infection in a pregnant woman can cause congenital heart disease. […] Women who are pregnant should get good prenatal care: […] Avoid alcohol and illegal drugs during pregnancy. […] Tell your provider that you are pregnant before taking any new medicines. […] Have a blood test early in your pregnancy to see if you are immune to rubella. If you are not immune, avoid any possible exposure to rubella and get vaccinated right after delivery. […] Pregnant women who have diabetes should try to get good control over their blood sugar level. […] Some inherited factors may play a role in congenital heart disease. Many family members may be affected. If you are planning to get pregnant, talk to your provider about screening for genetic diseases.

• #14 Truncus Arteriosus – Types, Risk Factors, Clinical Features, Management & Prevention

  https://www.medindia.net/health/conditions/truncus-arteriosus.htm

  As mentioned previously, certain risk factors are associated with the development of congenital heart defects. These can be addressed to reduce or prevent the development of heart defects. […] Avoid taking medications during pregnancy without the consent of your doctor. Some of the drugs known to be associated with an increased incidence of congenital heart defects include benzodiazepines, lithium, acne medications such as isotretinoin and topical retinoids and the non-steroidal anti-inflammatory (NSAID) drug Ibuprofen. Paracetamol is a safer alternative during pregnancy. […] Avoid smoking and alcohol intake during pregnancy. […] Get vaccinated against specific viral illnesses especially rubella which is known to cause fetal heart defects. Flu illness is also known to cause birth defects in the heart. It is recommended that pregnant women take the flu shot. […] Controlling diabetes, as uncontrolled hyperglycemia can affect the fetus in several ways. […] Taking folic acid 400 mcg once daily during pregnancy might help prevent the development of neural tube defects and possibly fetal heart abnormalities.

• #15 Truncus Arteriosus – Types, Risk Factors, Clinical Features, Management & Prevention

  https://www.medindia.net/health/conditions/truncus-arteriosus.htm

  As mentioned previously, certain risk factors are associated with the development of congenital heart defects. These can be addressed to reduce or prevent the development of heart defects. […] Avoid taking medications during pregnancy without the consent of your doctor. Some of the drugs known to be associated with an increased incidence of congenital heart defects include benzodiazepines, lithium, acne medications such as isotretinoin and topical retinoids and the non-steroidal anti-inflammatory (NSAID) drug Ibuprofen. Paracetamol is a safer alternative during pregnancy. […] Avoid smoking and alcohol intake during pregnancy. […] Get vaccinated against specific viral illnesses especially rubella which is known to cause fetal heart defects. Flu illness is also known to cause birth defects in the heart. It is recommended that pregnant women take the flu shot. […] Controlling diabetes, as uncontrolled hyperglycemia can affect the fetus in several ways. […] Taking folic acid 400 mcg once daily during pregnancy might help prevent the development of neural tube defects and possibly fetal heart abnormalities.

• #16 Truncus arteriosus – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/truncus-arteriosus/symptoms-causes/syc-20364247

  Because the cause is unclear, it may not be possible to prevent truncus arteriosus. Getting good prenatal care is important. If you or someone in your family had a heart condition present at birth, talk to your healthcare professional before getting pregnant. You might need to see a genetic counselor and a heart doctor, called a cardiologist. […] If you decide to get pregnant, taking these steps can help keep your baby healthy: […] Get recommended vaccinations. Some infections can be harmful to a developing baby. For example, having German measles also called rubella during pregnancy can cause changes in a baby’s heart development. A blood test done before pregnancy can show if you’re immune to rubella. A vaccine is available for those who aren’t immune. […] Talk to your healthcare professional about your medicines. Check with your healthcare professional before taking any medicines if you’re pregnant or thinking about getting pregnant. Many drugs aren’t recommended for use during pregnancy because they can harm a developing baby.

• #17 Truncus Arteriosus Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/892489-treatment

  No known methods to prevent the development of truncus arteriosus in the fetus are known. […] On screening obstetric ultrasonography findings, 4-chamber and great vessel views are sufficient to identify that cardiac anomalies are present. […] In such an event, the parents should be referred for fetal echocardiography, with which the anatomy of truncus arteriosus can be more fully defined. […] Diagnosis in utero allows for greater parental choice, and may facilitate planned delivery at a tertiary care center and immediate neonatal stabilization, thus preventing the potential hemodynamic sequelae that can result from the natural history of the lesion.

• #18 Truncus Arteriosus Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/892489-treatment

  No known methods to prevent the development of truncus arteriosus in the fetus are known. […] On screening obstetric ultrasonography findings, 4-chamber and great vessel views are sufficient to identify that cardiac anomalies are present. […] In such an event, the parents should be referred for fetal echocardiography, with which the anatomy of truncus arteriosus can be more fully defined. […] Diagnosis in utero allows for greater parental choice, and may facilitate planned delivery at a tertiary care center and immediate neonatal stabilization, thus preventing the potential hemodynamic sequelae that can result from the natural history of the lesion.

• #19 Truncus Arteriosus Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/892489-treatment

  No known methods to prevent the development of truncus arteriosus in the fetus are known. […] On screening obstetric ultrasonography findings, 4-chamber and great vessel views are sufficient to identify that cardiac anomalies are present. […] In such an event, the parents should be referred for fetal echocardiography, with which the anatomy of truncus arteriosus can be more fully defined. […] Diagnosis in utero allows for greater parental choice, and may facilitate planned delivery at a tertiary care center and immediate neonatal stabilization, thus preventing the potential hemodynamic sequelae that can result from the natural history of the lesion.

• #20 Truncus Arteriosus | American Heart Association

  https://www.heart.org/en/health-topics/congenital-heart-defects/about-congenital-heart-defects/truncus-arteriosus

  Surgery is needed to close the ventricular septal defect (VSD) and separate blood flow to the body from blood flow to the lungs. This is usually done early in infancy to prevent high blood pressure from damaging the lung arteries. […] For patients with uncorrected or partially corrected truncus arteriosus, antibiotics are recommended before certain dental procedures to prevent endocarditis. […] People who have truncus arteriosus require endocarditis prophylaxis.

• #21 Truncus Arteriosus (TA)

  https://healthinfo.coxhealth.com/Library/DiseasesConditions/Pediatric/CommonInjuries/90,P01826

  Surgery is often done in the first few weeks after birth to prevent lung damage. The pulmonary arteries are separated from the aorta and reattached to the right ventricle. The ventricular septal defect is also closed. […] The cardiologist may advise that your child take antibiotics before surgery or dental procedures. This is to prevent infection in the lining of the heart and heart valves (bacterial endocarditis). […] Most children who have surgery will live healthy lives.

• #22 Commentary: Treatment for Truncus Arteriosus Needs to Be Tailored

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.23.018

  Recent improvements in cardiopulmonary bypass (CPB), surgical techniques, prenatal diagnosis, and perioperative management have reduced mortality for truncus arteriosus, which has an early mortality rate of 3% to 20% and long-term survival of approximately 75% at 20 years. […] In the current era, early single-staged surgical correction of the truncal defect and its associated pathologies is recommended. […] As survival for patients with truncus arteriosus continues to improve, the importance of tailored management, such as adequate repair with meticulous surgery and vigilant perioperative monitoring, cannot be overemphasized for successful outcomes, particularly in high-risk patients such as those with prematurity, genetic anomalies, extracardiac problems, very low weight, preoperative shock, truncal valve dysfunction, and arch anomaly.

• #23 Truncus Arteriosus | Treatment | UK Healthcare

  https://ukhealthcare.uky.edu/gill-heart-vascular-institute/conditions/adult-congenital-heart-disease/truncus-arteriosus/treatment

  Surgical repair of truncal arteriosus is typically performed in the first few weeks or months of life to prevent complications and improve the babys overall health and well-being. […] Closing the ventricular septal defect prevents blood from mixing between the right and left ventricles. […] This ensures that oxygen-rich blood is delivered to the body and efficient blood flow to the lungs is achieved.

• #24 Truncus Arteriosus (TA)

  https://healthinfo.coxhealth.com/Library/DiseasesConditions/Pediatric/CommonInjuries/90,P01826

  Surgery is often done in the first few weeks after birth to prevent lung damage. The pulmonary arteries are separated from the aorta and reattached to the right ventricle. The ventricular septal defect is also closed. […] The cardiologist may advise that your child take antibiotics before surgery or dental procedures. This is to prevent infection in the lining of the heart and heart valves (bacterial endocarditis). […] Most children who have surgery will live healthy lives.

• #25 Outcome of truncus arteriosus repair: 20 years of single-center experience comparing early versus late surgical repair | Cardiology in the Young | Cambridge Core

  https://www.cambridge.org/core/journals/cardiology-in-the-young/article/outcome-of-truncus-arteriosus-repair-20-years-of-singlecenter-experience-comparing-early-versus-late-surgical-repair/06DFBA58DF0202C703271D9A77AF5835

  Truncus arteriosus is a rare CHD. Neonatal and early infancy repair is recommended though some cases may present late. […] In general, the outcome of early truncus arteriosus repair is excellent with resolution of pulmonary hypertension following early repair. Late repair caries higher risk of persistent pulmonary hypertension (37.5%).

• #26 Truncus Arteriosus | American Heart Association

  https://www.heart.org/en/health-topics/congenital-heart-defects/about-congenital-heart-defects/truncus-arteriosus

  Surgery is needed to close the ventricular septal defect (VSD) and separate blood flow to the body from blood flow to the lungs. This is usually done early in infancy to prevent high blood pressure from damaging the lung arteries. […] For patients with uncorrected or partially corrected truncus arteriosus, antibiotics are recommended before certain dental procedures to prevent endocarditis. […] People who have truncus arteriosus require endocarditis prophylaxis.

• #27 Truncus Arteriosus – Tests & Treatment | MedStar Health

  https://www.medstarhealth.org/services/truncus-arteriosus

  Truncus arteriosus requires lifesaving surgery shortly after birth and regular, lifelong follow-up heart care. […] You may need to limit your physical activity or avoid some high-intensity sports if you were treated for truncus arteriosus as a baby. Youll also need to take antibiotics before any dental procedures or surgeries to avoid endocarditis, an infection of the hearts lining.

• #28 Persistent Truncus Arteriosus – Pediatrics – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/pediatrics/congenital-cardiovascular-anomalies/persistent-truncus-arteriosus

  Endocarditis prophylaxis is recommended preoperatively but is required only for the first 6 months after repair unless there is a residual defect adjacent to a surgical patch or prosthetic material. […] Treat heart failure with diuretics, digoxin, and ACE inhibitors; prostaglandin infusion is beneficial to maintain duct patency only in patients with type A4 truncus with interrupted aortic arch or coarctation. […] Do surgical repair early; one or more revisions are usually needed as children grow.

• #29 Persistent Truncus Arteriosus – Pediatrics – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/pediatrics/congenital-cardiovascular-anomalies/persistent-truncus-arteriosus

  Endocarditis prophylaxis is recommended preoperatively but is required only for the first 6 months after repair unless there is a residual defect adjacent to a surgical patch or prosthetic material. […] Treat heart failure with diuretics, digoxin, and ACE inhibitors; prostaglandin infusion is beneficial to maintain duct patency only in patients with type A4 truncus with interrupted aortic arch or coarctation. […] Do surgical repair early; one or more revisions are usually needed as children grow.

• #30 About Truncus Arteriosus | Congenital Heart Defects (CHDs) | CDC

  https://www.cdc.gov/heart-defects/about/truncus-arteriosus.html

  People with truncus arteriosus should schedule routine checkups with a heart doctor to stay as healthy as possible. […] A person born with truncus arteriosus will need regular follow-up visits with a cardiologist (a heart doctor). These visits will help monitor their progress and avoid complications or other health problems.

• #31 Truncus Arteriosus (TA)

  https://phoenixchildrens.staywellsolutionsonline.com/Library/News/Headlines/90,P01826

  Surgery is often done in the first few weeks after birth to prevent lung damage. […] The cardiologist may advise that your child take antibiotics before surgery or dental procedures. This is to prevent infection in the lining of the heart and heart valves (bacterial endocarditis). […] Your child will need regular follow-up care with a pediatric cardiologist.

• #32 Truncus Arteriosus – Tests & Treatment | MedStar Health

  https://www.medstarhealth.org/services/truncus-arteriosus

  Truncus arteriosus requires lifesaving surgery shortly after birth and regular, lifelong follow-up heart care. […] You may need to limit your physical activity or avoid some high-intensity sports if you were treated for truncus arteriosus as a baby. Youll also need to take antibiotics before any dental procedures or surgeries to avoid endocarditis, an infection of the hearts lining.

• #33 Truncus Arteriosus (TA)

  https://healthlibrary.tidelandshealth.org/Library/News/FocusonHealth/90,P01826

  Surgery is often done in the first few weeks after birth to prevent lung damage. The pulmonary arteries are separated from the aorta and reattached to the right ventricle. The ventricular septal defect is also closed. […] The cardiologist may advise that your child take antibiotics before surgery or dental procedures. This is to prevent infection in the lining of the heart and heart valves (bacterial endocarditis). […] Your child will need regular follow-up care at a pediatric or adult congenital cardiac care center throughout life.

• #34 Commentary: Treatment for Truncus Arteriosus Needs to Be Tailored

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.23.018

  Management strategies aim at minimizing the frequency and invasiveness of reintervention, thereby optimizing functional performance and overall quality of life and improving long-term survival. […] As adequate truncal valve intervention improves survival, timely and advanced tailored techniques are required for truncal valve repair before left ventricular dysfunction occurs. […] It is very important for the initial repair to be as durable as possible, and optimizing truncal valve function can reduce the number of repeated interventions. […] It is necessary to lower the threshold to perform timely truncal valve replacement for significant truncal valve regurgitation if truncal valve repair is difficult. […] Currently, the best surgical results can be achieved despite long CPB durations, because more adequate repairs with improved perfusion strategies and meticulous perioperative care have all reduced the impact of prolonged CPB on worse outcomes.

• #35 Commentary: Treatment for Truncus Arteriosus Needs to Be Tailored

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.23.018

  Management strategies aim at minimizing the frequency and invasiveness of reintervention, thereby optimizing functional performance and overall quality of life and improving long-term survival. […] As adequate truncal valve intervention improves survival, timely and advanced tailored techniques are required for truncal valve repair before left ventricular dysfunction occurs. […] It is very important for the initial repair to be as durable as possible, and optimizing truncal valve function can reduce the number of repeated interventions. […] It is necessary to lower the threshold to perform timely truncal valve replacement for significant truncal valve regurgitation if truncal valve repair is difficult. […] Currently, the best surgical results can be achieved despite long CPB durations, because more adequate repairs with improved perfusion strategies and meticulous perioperative care have all reduced the impact of prolonged CPB on worse outcomes.

• #36 Truncus Arteriosus – Tests & Treatment | MedStar Health

  https://www.medstarhealth.org/services/truncus-arteriosus

  Truncus arteriosus requires lifesaving surgery shortly after birth and regular, lifelong follow-up heart care. […] You may need to limit your physical activity or avoid some high-intensity sports if you were treated for truncus arteriosus as a baby. Youll also need to take antibiotics before any dental procedures or surgeries to avoid endocarditis, an infection of the hearts lining.

• #37 Commentary: Treatment for Truncus Arteriosus Needs to Be Tailored

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.23.018

  A shorter duration to reintervention, for either the truncal valve or RV-PA conduit, was identified as a risk for recurrent intervention, and it is very important to make the most durable repair possible. […] Future studies need to be improved by data segmentation and important details to identify factors associated with better long-term outcomes, and a systematically developed, prospective multi-institutional database is necessary to establish optimally tailored treatment strategies.

• #38 Commentary: Treatment for Truncus Arteriosus Needs to Be Tailored

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.23.018

  Recent improvements in cardiopulmonary bypass (CPB), surgical techniques, prenatal diagnosis, and perioperative management have reduced mortality for truncus arteriosus, which has an early mortality rate of 3% to 20% and long-term survival of approximately 75% at 20 years. […] In the current era, early single-staged surgical correction of the truncal defect and its associated pathologies is recommended. […] As survival for patients with truncus arteriosus continues to improve, the importance of tailored management, such as adequate repair with meticulous surgery and vigilant perioperative monitoring, cannot be overemphasized for successful outcomes, particularly in high-risk patients such as those with prematurity, genetic anomalies, extracardiac problems, very low weight, preoperative shock, truncal valve dysfunction, and arch anomaly.

• #39 Commentary: Treatment for Truncus Arteriosus Needs to Be Tailored

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.23.018

  Recent improvements in cardiopulmonary bypass (CPB), surgical techniques, prenatal diagnosis, and perioperative management have reduced mortality for truncus arteriosus, which has an early mortality rate of 3% to 20% and long-term survival of approximately 75% at 20 years. […] In the current era, early single-staged surgical correction of the truncal defect and its associated pathologies is recommended. […] As survival for patients with truncus arteriosus continues to improve, the importance of tailored management, such as adequate repair with meticulous surgery and vigilant perioperative monitoring, cannot be overemphasized for successful outcomes, particularly in high-risk patients such as those with prematurity, genetic anomalies, extracardiac problems, very low weight, preoperative shock, truncal valve dysfunction, and arch anomaly.

• #40 Commentary: Treatment for Truncus Arteriosus Needs to Be Tailored

  https://www.jchestsurg.org/journal/view.html?doi=10.5090/jcs.23.018

  A shorter duration to reintervention, for either the truncal valve or RV-PA conduit, was identified as a risk for recurrent intervention, and it is very important to make the most durable repair possible. […] Future studies need to be improved by data segmentation and important details to identify factors associated with better long-term outcomes, and a systematically developed, prospective multi-institutional database is necessary to establish optimally tailored treatment strategies.

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