{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T23:04:08Z","timestamp":1775603048636,"version":"3.50.1"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T00:00:00Z","timestamp":1635465600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Primary repair of common arterial trunk (CAT) is burdened by high mortality rates, especially in the presence of multiple risk factors. Timing, possible palliative methods, optimal management of associated cardiac lesions and handling of a poor preoperative state are still under discussion.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We retrospectively analysed all patients who underwent surgery for CAT in our institution between 2008 and November 2020. We included 22 patients, 11 of whom received primary correction (PC) and 11 of whom underwent initial palliation by partial repair, leaving the ventricular septal defect open and connecting the right ventricle to the pulmonary arteries with a small valveless right ventricle-to-pulmonary artery conduit. A delayed correction (DC) was performed after 11.5 \u00b1 3.6 months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The overall operative mortality was 4.5%; 1 patient (affected by severe truncal valve stenosis and presenting in a poor state preoperatively) in the DC group died after palliation. The incidence of postoperative pulmonary hypertensive crisis was significantly higher in the PC group (P = 0.027). No patient from either group required postoperative extracorporeal support. Survival rates after 6 years differed slightly (PC group, 90%; DC group, 70%; log-rank = 0.270).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>PC of CAT remains an optimal surgical approach for patients with an expected low mortality. However, our data support palliation and DC as a suitable alternative strategy, especially in the presence of significant risk factors like interrupted aortic arch, poor preoperative condition or complex surgical anatomy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezab455","type":"journal-article","created":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T19:09:54Z","timestamp":1634843394000},"source":"Crossref","is-referenced-by-count":3,"title":["Repair of common arterial trunk: palliation and delayed correction as a viable alternative strategy in selected patients"],"prefix":"10.1093","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4069-5594","authenticated-orcid":false,"given":"Michela","family":"Cuomo","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, University of Erlangen , Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5242-2630","authenticated-orcid":false,"given":"Ariawan","family":"Purbojo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, University of Erlangen , Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Blumauer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, University of Erlangen , Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Sch\u00f6ber","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, University of Erlangen , Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"W\u00e4llisch","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, University of Erlangen , Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8455-3416","authenticated-orcid":false,"given":"Sven","family":"Dittrich","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, University of Erlangen , Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3575-6647","authenticated-orcid":false,"given":"Robert Anton","family":"Cesnjevar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, University of Erlangen , Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,10,29]]},"reference":[{"key":"2022070609165010400_ezab455-B1","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1586\/erc.11.170","article-title":"Common arterial trunk: review of surgical strategies and future research","volume":"9","author":"De Siena","year":"2011","journal-title":"Expert Rev Cardiovasc Ther"},{"key":"2022070609165010400_ezab455-B2","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1016\/j.jpeds.2008.05.059","article-title":"Prevalence of congenital heart defects in metropolitan Atlanta, 1998-2005","volume":"153","author":"Reller","year":"2008","journal-title":"J Pediatr"},{"key":"2022070609165010400_ezab455-B3","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/j.athoracsur.2005.06.072","article-title":"Truncus arteriosus associated with interrupted aortic arch in 50 neonates: a Congenital Heart Surgeons Society study","volume":"81","author":"Konstantinov","year":"2006","journal-title":"Ann Thorac Surg"},{"key":"2022070609165010400_ezab455-B4","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1001\/jama.1968.03140280023007","article-title":"An operation for the correction of truncus arteriosus","volume":"205","author":"McGoon","year":"1968","journal-title":"JAMA"},{"key":"2022070609165010400_ezab455-B5","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1016\/j.athoracsur.2016.01.071","article-title":"Mortality trends in pediatric and congenital heart surgery: an analysis of the Society of Thoracic Surgeons Congenital heart Surgery Database","volume":"102","author":"Jacobs","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"2022070609165010400_ezab455-B6","doi-asserted-by":"crossref","first-page":"2386","DOI":"10.1016\/j.jtcvs.2018.12.115","article-title":"Characteristics and operative outcomes for children undergoing repair of truncus arteriosus: a contemporary multicenter analysis","volume":"157","author":"Mastropietro","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022070609165010400_ezab455-B7","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.athoracsur.2011.04.121","article-title":"Outcome of repair of common arterial trunk with truncal valve surgery: a review of the Society of Thoracic Surgeons Congenital Heart Surgery Database","volume":"93","author":"Russell","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"2022070609165010400_ezab455-B8","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1177\/2150135110392597","article-title":"Two-stage repair of truncus arteriosus associated with interrupted aortic arch in critically patients","volume":"2","author":"Sernich","year":"2011","journal-title":"World J Pediatr Congenit Heart Surg"},{"key":"2022070609165010400_ezab455-B9","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/S1010-7940(01)00816-8","article-title":"Truncus arteriosus repair: outcome, risk factors, reoperations and management","volume":"20","author":"Brown","year":"2001","journal-title":"Eur J Cardiothorac Surg200"},{"key":"2022070609165010400_ezab455-B10","first-page":"754","article-title":"Common arterial trunk: current implementation of the primary and staged repair strategies","volume":"21","author":"Sandrio","year":"2015","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2022070609165010400_ezab455-B11","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/0002-9149(65)90732-0","article-title":"The anatomy of common aorticopulmonary trunk (truncus arteriosus communis) and its embryologic implications. A study of 57 necropsy cases","volume":"16","author":"Van Praagh","year":"1965","journal-title":"Am J Cardiol"},{"key":"2022070609165010400_ezab455-B12","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1016\/j.jtcvs.2009.03.071","article-title":"An empirically based tool for analyzing mortality associated with congenital heart surgery","volume":"138","author":"O'Brien","year":"2009","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022070609165010400_ezab455-B13","doi-asserted-by":"crossref","first-page":"2184","DOI":"10.1016\/j.athoracsur.2011.06.008","article-title":"Variation in outcome for benchmark operations: an analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database","volume":"92","author":"Jacobs","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"2022070609165010400_ezab455-B14","first-page":"366","article-title":"Long-term outcomes following repair of truncus arteriosus and interrupted aortic arch","volume":"57","author":"Naimo","year":"2020","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022070609165010400_ezab455-B15","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.jtcvs.2004.10.004","article-title":"Risk factors associated with mortality and interventions in 472 neonates with interrupted aortic arch: a Congenital Heart Surgeons Society study","volume":"129","author":"McCrindle","year":"2005","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022070609165010400_ezab455-B16","first-page":"31137","article-title":"Truncus arteriosus repair: a 40-year multicenter perspective","volume":"S0022-5223","author":"Naimo","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022070609165010400_ezab455-B17","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1093\/ejcts\/ezw056","article-title":"Expectations and limitations after bilateral pulmonary artery banding","volume":"50","author":"Sakurai","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022070609165010400_ezab455-B18","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezaa423","article-title":"Consensus document on optimal management of patients with common arterial trunk","author":"Hazekamp","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022070609165010400_ezab455-B19","doi-asserted-by":"crossref","first-page":"2200","DOI":"10.1016\/j.athoracsur.2006.07.017","article-title":"Truncus arteriosus comunis: early and midterm results of early primary repair","volume":"82","author":"Tlaskal","year":"2006","journal-title":"Ann Thorac Surg"},{"key":"2022070609165010400_ezab455-B20","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.cjca.2018.12.006","article-title":"Contemporary outcomes and factors associated with mortality after a fetal or postnatal diagnosis of common arterial trunk","volume":"35","author":"Morgan","year":"2019","journal-title":"Can J Cardiol"},{"key":"2022070609165010400_ezab455-B21","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/S0735-1097(99)00227-2","article-title":"Factors associated with outcomes of persistent truncus arteriosus","volume":"34","author":"Williams","year":"1999","journal-title":"J Am Coll Cardiol"},{"key":"2022070609165010400_ezab455-B22","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.athoracsur.2018.08.094","article-title":"Multicenter analysis of early childhood outcomes after repair of truncus arteriosus","volume":"107","author":"Buckley","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"2022070609165010400_ezab455-B23","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.athoracsur.2020.03.051","article-title":"Extracorporeal membrane oxygenation in infants undergoing truncus arteriosus repair","volume":"111","author":"Hames","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"2022070609165010400_ezab455-B24","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1016\/j.athoracsur.2020.06.100","article-title":"Mortality of ECMO because of truncus arteriosus repair: is the surgical strategy the problem?","volume":"111","author":"Cuomo","year":"2021","journal-title":"Ann Thorac Surg"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/62\/1\/ezab455\/44411597\/ezab455.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/62\/1\/ezab455\/44411597\/ezab455.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T09:19:57Z","timestamp":1657099197000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezab455\/6414287"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,29]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,6,15]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezab455","relation":{},"ISSN":["1010-7940","1873-734X"],"issn-type":[{"value":"1010-7940","type":"print"},{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,7,1]]},"published":{"date-parts":[[2021,10,29]]},"article-number":"ezab455"}}