{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:26:55Z","timestamp":1785421615576,"version":"3.56.0"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"unspecified","delay-in-days":25,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Aortic valvar atresia is a congenital cardiovascular malformation in which there is no patency of the aortic valve, and thus no communication between aorta and either ventricle. A hypoplastic ascending aorta is a constant feature, usually in the context of a small left ventricle and mitral valve. A subset of this group is aortic atresia with a ventricular septal defect with well-developed mitral valve and balanced ventricles. This morphological variant is often misdiagnosed as common arterial trunk on echocardiography and computerised tomography. In the absence of coarctation or focal narrowing of the aortic arch, one can misdiagnose this entity as common arterial trunk with a single coronary artery from the brachiocephalic artery. Patients with this variant may have hypoplastic left heart physiology, but can potentially undergo a biventricular repair. Herein, we describe aortic valvar atresia with a large pulmonary trunk and ventricular septal defect, with balanced ventricles and a well-developed mitral valve. The patient was originally misdiagnosed as having a common arterial trunk. We emphasise the morphological differences, as well as the surgical importance, including technical considerations, conduction of cardiopulmonary bypass, and myocardial protection.<\/jats:p>","DOI":"10.1017\/s1047951126112967","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T13:38:41Z","timestamp":1779802721000},"page":"1004-1009","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Aortic valvar atresia with ventricular septal defect with well-developed mitral valve and balanced ventricles may mimic common arterial trunk"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4185-6695","authenticated-orcid":false,"given":"Sudesh","family":"Prabhu","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05kx1ke03","id-type":"ROR","asserted-by":"publisher"}],"name":"Narayana Institute of Cardiac Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreesha","family":"Maiya","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05kx1ke03","id-type":"ROR","asserted-by":"publisher"}],"name":"Narayana Institute of Cardiac Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srikanth","family":"Kasturi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05kx1ke03","id-type":"ROR","asserted-by":"publisher"}],"name":"Narayana Institute of Cardiac Sciences"},{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1073-7631","authenticated-orcid":false,"given":"Shreedhar S.","family":"Joshi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05kx1ke03","id-type":"ROR","asserted-by":"publisher"}],"name":"Narayana Institute of Cardiac Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7197-824X","authenticated-orcid":false,"given":"Riyan S.","family":"Shetty","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05kx1ke03","id-type":"ROR","asserted-by":"publisher"}],"name":"Narayana Institute of Cardiac Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8684-405X","authenticated-orcid":false,"given":"Tom R.","family":"Karl","sequence":"additional","affiliation":[{"name":"University of Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"S1047951126112967_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(91)91040-3"},{"key":"S1047951126112967_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(76)90370-2"},{"key":"S1047951126112967_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951117002244"},{"key":"S1047951126112967_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951112001606"},{"key":"S1047951126112967_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)90774-9"},{"key":"S1047951126112967_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.02.050"},{"key":"S1047951126112967_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)34577-5"},{"key":"S1047951126112967_ref10","first-page":"859","volume-title":"Paediatric Cardiology","author":"Anderson","year":"2010"},{"key":"S1047951126112967_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)04406-5"},{"key":"S1047951126112967_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951121004492"},{"key":"S1047951126112967_ref4","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1055\/s-0043-1760745","article-title":"Coronaries from the brachiocephalic artery: anomalous origin of the coronary arteries in a case of situs inversus and truncus arteriosus","volume":"33","author":"Moharkar","year":"2023","journal-title":"Indian J Radiol Imaging"},{"key":"S1047951126112967_ref22","first-page":"1602","volume-title":"Kirklin \/ Barratt-Boyes Cardiac Surgery","author":"Kouchoukos","year":"2013"},{"key":"S1047951126112967_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951121000470"},{"key":"S1047951126112967_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(91)90812-5"},{"key":"S1047951126112967_ref23","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781139028561"},{"key":"S1047951126112967_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01320-X"},{"key":"S1047951126112967_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01283-7"},{"key":"S1047951126112967_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(99)70010-3"},{"key":"S1047951126112967_ref20","article-title":"Handmade trileaflet valved ePTFE right ventricle to pulmonary artery conduit - How do we do it?","author":"Kasturi","year":"2020","journal-title":"Multimed Man Cardiothorac Surg"},{"key":"S1047951126112967_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvc.2021.02.007"},{"key":"S1047951126112967_ref21","first-page":"1780","volume-title":"Kirklin \/ Barratt-Boyes Cardiac Surgery","author":"Kouchoukos","year":"2013"},{"key":"S1047951126112967_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.02.011"},{"key":"S1047951126112967_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.05.124"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951126112967","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T11:34:27Z","timestamp":1782128067000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951126112967\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["S1047951126112967"],"URL":"https:\/\/doi.org\/10.1017\/s1047951126112967","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. 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