{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T09:50:45Z","timestamp":1790070645911,"version":"4.0.1"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2017,10,26]],"date-time":"2017-10-26T00:00:00Z","timestamp":1508976000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951117002050_abs1\" sec-type=\"objectives\"><jats:title>Objectives<\/jats:title><jats:p>Early surgical management of common arterial trunk is well established and has good prognosis. Late diagnosis is less common. We reviewed late-diagnosed common arterial trunk management and prognosis for children in developing countries. We also discuss the need for prior catheterisation.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951117002050_abs2\" sec-type=\"general\"><jats:title>Material and methods<\/jats:title><jats:p>We reviewed all common arterial trunk patients managed by our humanitarian organization since 1996.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951117002050_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A total of 41 children with common arterial trunk were managed at a mean age of 3 years old. The lack of adequate facilities in developing countries explains the late management. The decision to proceed with surgery was based on clinical and radiological symptoms of persistent shunt, particularly a high cutaneous saturation level, regardless of catheterization \u2013 not carried out systematically. Eight children had to be withdrawn and 33 (80.5%) received operation \u2013 mean saturation 91%. The postoperative course was marked by pulmonary arterial hypertension requiring specific treatment in 30% of cases. The operative mortality was 1\/33. The 32 children returned home without treatment after a mean post operative stay of 49 days and were followed up (mean FU 3.4 years, none lost to follow-up). At last contact, 1 child died six months after surgery, 1 child had a massive truncal valve insufficiency, 5 had a significant stenosis of the RV-PA tube, and 2 have had further surgery for tube replacement.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951117002050_abs4\" sec-type=\"results\"><jats:title>Conclusions<\/jats:title><jats:p>Late management and surgery of common arterial trunk is possible with good long-term results without prior hemodynamic examination up to an advanced childhood when signs of left-to-right shunt persist. A high saturation level (above 88%) seems to be a good operability criterion.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951117002050","type":"journal-article","created":{"date-parts":[[2017,10,26]],"date-time":"2017-10-26T02:25:37Z","timestamp":1508984737000},"page":"302-308","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":8,"title":["Late management of truncus arteriosus: 20 years of humanitarian experience"],"prefix":"10.1017","volume":"28","author":[{"given":"Marielle","family":"Gouton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Lucet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Bical","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francine","family":"Leca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2017,10,26]]},"reference":[{"key":"S1047951117002050_ref16","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2015.08.009"},{"key":"S1047951117002050_ref7","doi-asserted-by":"publisher","DOI":"10.2459\/JCM.0000000000000056"},{"key":"S1047951117002050_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.12.054"},{"key":"S1047951117002050_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951112001515"},{"key":"S1047951117002050_ref8","unstructured":"Association M\u00e9c\u00e9nat-Chirurgie Cardiaque \u2013 Enfants du monde. Retrieved May 30, 2017, from http:\/\/www.mecenat-cardiaque.org\/"},{"key":"S1047951117002050_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.06.018"},{"key":"S1047951117002050_ref21","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt213"},{"key":"S1047951117002050_ref13","doi-asserted-by":"publisher","DOI":"10.1148\/rg.304095158"},{"key":"S1047951117002050_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.2012.01423.x"},{"key":"S1047951117002050_ref15","doi-asserted-by":"publisher","DOI":"10.1177\/2150135113516370"},{"key":"S1047951117002050_ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000334590"},{"key":"S1047951117002050_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/1010-7940(87)90014-5"},{"key":"S1047951117002050_ref19","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951112001618"},{"key":"S1047951117002050_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951112002016"},{"key":"S1047951117002050_ref1","volume-title":"Cardiologie pratique de l\u2019enfant","author":"Thibert","year":"1976"},{"key":"S1047951117002050_ref23","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951112001734"},{"key":"S1047951117002050_ref5","doi-asserted-by":"publisher","DOI":"10.1177\/2150135115572375"},{"key":"S1047951117002050_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(65)90732-0"},{"key":"S1047951117002050_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2013.05.023"},{"key":"S1047951117002050_ref3","unstructured":"Dupuis C , Kachaner J , Pernot C , Quero-Jimenez M , Rey C . Tronc Art\u00e9riel Commun. Flammarion M\u00e9decine \u2013 Sciences, Paris, 1981, 304\u2013310pp."},{"key":"S1047951117002050_ref18","doi-asserted-by":"publisher","DOI":"10.1017\/S104795110500051X"},{"key":"S1047951117002050_ref22","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivt098"},{"key":"S1047951117002050_ref17","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0146800"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951117002050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T16:15:40Z","timestamp":1555344940000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951117002050\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,26]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["S1047951117002050"],"URL":"https:\/\/doi.org\/10.1017\/s1047951117002050","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,26]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2017\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}