Video Article

Surgical Correction of Truncus Arteriosus (Type II) in a Neonate


  • Öztekin Oto

Received Date: 17.08.2020 Accepted Date: 25.08.2020 E J Cardiovasc Med 2020;8(3):163-164

Surgical Correction of Truncus Arteriosus (Type II) in a Neonate

Truncus arteriosus (TA) represents 1-2% of congenital heart defects in liveborn infants. Based on an estimated incidence of congenital heart disease of 6-8 per 1,000 liveborn children, truncus arteriosus occurs in approximately 5-15 of 100,000 live births(1) and TA Type II obviously can be seen even rarer.

We present here a surgical repair video of a 45 days old baby with Type II TA. She had a usual large conal ventricular septal defect (VSD), mild aortic regurgitation and bilateral posterior orifices of both pulmonary arteries from the TA.

The VSD was closed with a large heterologous pericardial patch. The bilateral pulmonary artery that was taking off from the aorta, was carefully excised as a button. A 16 mm Contegra Medtronic bovine jugular vein conduit was anastomosed between the right ventricle outflow track and pulmonary artery button.

In addition to repair of TA with an external conduit, a piece of the left manubrium sternum was excised as an important preventive method for early post-operative period, in order to prevent the conduit to be compressed by sternum. This technique is almost a routine procedure that I perform to prevent the conduit compression in my practice.

The patient was discharged without any complication.


Informed Consent: Informed consent was obtained from the patient.

Peer-review: Externally peer-reviewed.

Financial Disclosure: The author did not obtained any financial support for this study.



  1. McElhinney, Doff B. “Truncus Arteriosus.” Background, Pathophysiology, Etiology, 31 Dec. 2019.