DIAGNOSTIC METHODS FOR STUDYING THE COMMON TRUNCUS ARTERIOSUS IN RADIOLOGY
Introduction. Providing an accurate radiological report is important because the optimal timing and procedure for truncus arteriosus repair is determined based on morphological characteristics. It is necessary to take into account the advantages and disadvantages of each method to help clinicians.
Aim: Review of diagnostic methods used in radiology to study the common truncus arteriosus according to the literature.
Search strategy. To search for literature, we used the PubMed, Scopus and Google Scholar databases, without limiting the depth of the search. This is due to the importance of foundational fundamental works, both of the past and the beginning of the 21st century, revealing basic issues in describing the anatomy and classification of the arterial trunk, understanding the natural history, the results of surgical treatment, the latest research in the field of diagnosis and treatment, reflecting current trends and practice. Inclusion criteria for the review: publications with full text, clear conclusions, published in English. Exclusion criteria: duplicate articles, incomplete articles, articles with paid access, summary of the reports, abstracts, advertising articles. As a result, 65 articles were accepted for analysis.
Results. Diagnostic methods for studying the common truncus arteriosus in radiology include chest radiography, echocardiography, computed tomography, cardiac magnetic resonance imaging, if necessary, cardiac catheterization and angiography. Each of the listed methods has its own advantages and disadvantages.
Conclusions: Analysis and further diagnosis of conotruncal pathologies based on data from computed and magnetic resonance imaging, cardiac catheterization, and echocardiography are expected to be effective with an integrated approach.
Aigerim A. Ganiyeva2, https://orcid.org/0009-0006-7350-5685
Raushan I. Rakhimzhanova2, https://orcid.org/0000-0002-3490-6324
Tairkhan B. Dautov3, https://orcid.org/0000-0002-5267-0108
Zhanar S. Abdrakhmanova2, https://orcid.org/0000-0002-1890-0862
Zhanar Zh. Kozhakhmetova 2, https://orcid.org/0000-0002-7255-0955
Assel K. Almussina2, https//orcid.org/0000-0002-9031-3486
Almas Zh. Bimakhan1, https://orcid.org/0000-0003-3100-3389
Valeriy S. Ignatyev1, https://orcid.org/0009-0000-3607-2936
1 NJSC “National Research Cardiac Surgery Center”, Department of Radiology, Astana, Republic of Kazakhstan;
2 NСJSC “Astana Medical University”, Scientific Research Institute of Radiology named after
ZH.H. Khamzabayev, Astana, Republic of Kazakhstan.
3 “University Medical Center” corporate fund, Department of Radiology and Nuclear Medicine,
Astana, Republic of Kazakhstan.
1. Ayeres N., Miller-Hance W., Fyfe D.A., et al. Indications and guidelines for performance of transesophageal echocardiography in the patient with acquired or congenital heart disease // J Am Soc Echocardiogr, 2005. 18: 91–98.
2. Blanke P., Bulla S., Baumann T., Siepe M., Winterer J.T., Euringer W., Schafer A.O., Kotter E., Langer M., Pache G. Thoracic aorta: prospective electrocardiographically triggered CT angiography with dual-source CT-feasibility, image quality, and dose reduction // Radiology. 2010. 255:207–17.
3. Bohuta L., Hussein A., Fricke T.A. et al. Surgical repair of truncus arteriosus associated with interrupted aortic arch: long-term outcomes // Ann. Thorac. Surg. 2011. 91, 1473–1477
4. Brizard C. Management strategy and long term outcome for truncus arteriosus // European Journal of Cardio-Thoracic Surgery, 1997. 11(4), 687–696
5. Brown J.W., Ruzmetov M., Okada Y., Vijay P., Turrentine M.W. Truncus arteriosus repair: outcomes, risk factors, reoperation and management // European Journal of Cardio-Thoracic Surgery, 2001. 20(2), 221–227. DOI: 10.1016/S1010-7940(01)00816-8.
6. Bu L., Munns S., Zhang H., et al. Rapid full volume data acquisition by real-time 3-dimensional echocardiography for assessment of LV indexes in children: a validation study compared with MRI // J Am Soc Echocardiogr. 2005. 18: 299–305
7. Carotti A., Digilio M.C., Piacentini G., Saffirio C., Di Donato R.M., Marino B. Cardiac defects and results of cardiac surgery in 22q11.2 deletion syndrome // Dev. Disabil. Res. Rev. 2008. 14, 35–42.
8. Cheng Z., Wang X., Duan Y., Wu L., Wu D., Chao B., Liu C., Xu Z., Li H., Liang F., Xu J., Chen J. Low-dose prospective ECG-triggering dual-source CT angiography in infants and children with complex congenital heart disease: first experience // European Radiology, 2010. 20(10), 2503–2511.
9. Chikkabyrappa S., Mahadevaiah G., Buddhe S., Alsaied T., Tretter J. Common Arterial Trunk: Physiology, Imaging, and Management // Seminars in Cardiothoracic and Vascular Anesthesia, 2019. 23(2), 225–236. DOI:10.1177/1089253218821382
10. Collett R.W., Edwards J.E. Persistent truncus arteriosus; a classification according to anatomic types // Surg. Clin. North Am. 1949. 29, 1245–1270.
11. Colon M., Anderson R.H., Weinberg P., Mussatto K., Bove E., Friedman A.H. Anatomy, morphogenesis, diagnosis, management, and outcomes for neonates with common arterial trunk // Cardiology in the Young, 2008. 18(S3), 52–62.
12. Frank L., Dillman J.R., Parish V., et al. Cardiovascular MR imaging of conotruncal anomalies // Radiographics, 2010. 30: 1069–1094
13. Fogel M.A., Hubbard A., Weinberg P.M. A simplified approach for assessment of intracardiac baffles and extracardiac conduits in congenital heart surgery with two- and three-dimensional magnetic resonance imaging // Am Heart J 2001; 142: 1028–1036
14. Fogel M. A., Crawford M. Cardiac magnetic resonance of the common arterial trunk and transposition of the great arteries // Cardiology in the Young, 2012. 22(6), 677–686.
15. Freire G., Miller M., Huhta J. Foetal echocardiography of transposition of the great arteries and common arterial trunk // Cardiology in the Young, 2012. 22(6), 671–676.
16. Genç B., Okur F.F., Tavlı V., Solak A. Truncus arteriosus with persistent left superior vena cava: cardiac computed tomography findings in an unrepaired adult patient // J Clin Imaging Sci. 2013. 3:47. DOI:10.4103/2156-7514.120787.
17. Goo H.W., Park I.S., Ko J.K., Kim Y.H., Seo D.M., Park J.J. Computed tomography for the diagnosis of congenital heart disease in pediatric and adult patients // Int J Cardiovasc Imaging 2005. 21 (2-3): 347–365; discussion 367.
18. Gómez O., Soveral I., Bennasar M., Crispi F., Masoller N., Marimon E., Bartrons J., Gratacós E., Martinez J.M. Accuracy of Fetal Echocardiography in the Differential Diagnosis between Truncus Arteriosus and Pulmonary Atresia with Ventricular Septal Defect // Fetal Diagnosis and Therapy, 2016. 39(2), 90–99
19. Gupta S.K., Aggarwal A., Shaw M., Gulati G.S., Kothari S.S., Ramakrishnan S., Saxena A., Devagourou V., Talwar S., Sharma S., Gupta N., Airan B., Anderson R.H. Clarifying the anatomy of common arterial trunk: A clinical study of 70 patients // European Heart Journal Cardiovascular Imaging, 2020. 21(8), 914–922.
20. Hanley F.L., Heinemann M.K., Jonas R.A., Mayer J.E., Cook N.R., Wessel D.L., Castaneda A.R. Repair of truncus arteriosus in the neonate // The Journal of Thoracic and Cardiovascular Surgery, 1993. 105(6), 1047–1056
21. Henaine R., Azarnoush K., Belli E. et al. Fate of the truncal valve in truncus arteriosus // Ann. Thorac. Surg. 2009. 85, 172–178.
22. Hernanz-Schulman M., Fellows K.E. Persistent truncus arteriosus: Pathologic, diagnostic and therapeutic considerations // Seminars in Roentgenology, 1985. 20(2), 121–129.
23. Hong S.H., Kim Y.M., Lee C.K., Lee C.H., Kim S.H., Lee S.Y. 3D MDCT angiography for the preoperative assessment of truncus arteriosus // In Clinical Imaging 2015. Vol. 39, Issue 6, pp. 938–944. Elsevier Inc.
24. Jacobs M.L., Background IN. Congenital Heart Surgery Nomenclature and Database Project: Truncus Arteriosus. In Ann Thorac Surg. 2000. Vol. 69. 235-241. DOI: 10.1016/s0003-4975(99)01320-x
25. Johnson T.R. Conotruncal cardiac defects: A clinical imaging perspective // Pediatric Cardiology, 2010. 31(3), 430–437.
26. Kang S.L., Benson L. Recent advances in cardiac catheterization for congenital heart disease. F1000 Res 2018. 7 : 370
27. Klink T., Müller G., Weil J., Dodge-Khatami A., Adam G., Bley T.A. Cardiovascular computed tomography angiography in newborns and infants with suspected congenital heart disease: Retrospective evaluation of low-dose scan protocols // Clinical Imaging, 2012. 36(6), 746–753.
28. Koplay M. Truncus arteriosus: Diagnosis with dual-source computed tomography angiography and low radiation dose // World Journal of Radiology, 2014. 6(11), 886- 889. DOI: 10.4329/wjr.v6.i11.886
29. Krishnamurthy R. Neonatal cardiac imaging // Pediatr Radiol, 2010. 40 (4): 518 – 527
30. Kumar P., Bhatia M. Role of CT in the Pre-and Postoperative Assessment of Conotruncal Anomalies. In Radiology: Cardiothoracic Imaging // Radiological Society of North America Inc. 2022. Vol. 4, Issue 3. 135-139. DOI: 10.1148/ryct.210089
31. Laplace M.L., Salerno J.C., Lai WW, Mertens LL, Cohen MS, Geva T (eds.). Truncus arteriosus. In: Echocardiography in Pediatric and Congenital Heart Disease: From Fetus to Adult. Wiley-Blackwell, Hoboken, NJ, 2009, pp 385–397
32. Laux D., Derridj N., Stirnemann J., Lucron H., Stos B., Levy M., Houyel L., Bonnet D. Accuracy and impact of prenatal diagnosis of common arterial trunk // Ultrasound in Obstetrics and Gynecology, 2022. 60(2), 223–233.
33. Leschka S., Oechslin E., Husmann L., Desbiolles L., Marincek B., Genoni M., Prêtre R., Jenni R., Wildermuth S., Alkadhi H. Pre- and postoperative evaluation of congenital heart disease in children and adults with 64-section CT // In Radiographics, 2007. Vol. 27, Issue 3, pp. 829–846.
34. Mahesh M. Advances in CT technology and application to pediatric imaging // Pediatr Radiol. 2011. 41(Suppl 2):493–7
35. Marcelletti C., McGoon D.C., Mair D.D. The natural history of truncus arteriosus // Circulation, 1976. 54(1), 108–111.
36. Mcleod G., Shum K., Gupta T., et al. Echocardiography in congenital heart disease // Prog Cardiovasc Dis. 2018. 61 ( 5-6 ): 468 – 475.
37. Menon S.C., Julsrud P.R., Cetta F. Late diagnosis of common arterial trunk // Cardiol Young, 2007. 17: 333–335.
38. Mittal K., Dey A.K., Gadewar R., Sharma R., Pandit N., Rajput P., et al. Rare case of truncus arteriosus with anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) and unilateral left pulmonary artery agenesis // Jpn J Radiol. 2015. 33:220–4.
39. Morgan C.T., Tang A., Fan C.P., Golding F., Manlhiot C., van Arsdell G., Honjo O., Jaeggi E. Contemporary Outcomes and Factors Associated With Mortality After a Fetal or Postnatal Diagnosis of Common Arterial Trunk // Canadian Journal of Cardiology, 2019. 35(4), 446–452.
40. Naimo P.S., Fricke T.A., d’Udekem Y., Brink J., Weintraub R.G., Brizard C.P., Konstantinov I.E. Impact of truncal valve surgery on the outcomes of the truncus arteriosus repair // European Journal of Cardio-Thoracic Surgery, 2018. 54(3), 524–531.
41. Nguyen T., John J.B., Nardell K., Gonzalez J. H., Timofeev S., Marx G. Echocardiography of common arterial trunk // Cardiology in the Young, 2012. 22(6), 655–663.
42. Paolo de S., Mohamed G., Qiang C., Deana Y., Massimo C. Common arterial trunk: review of surgical strategies and future research, Expert Review of Cardiovascular Therapy, 2011. 9:12, 1527-1538. DOI: 10.1586/erc.11.170
43. Parodi J., Berguer R., Carrascosa P., Khanafer K., Capunay C., Wizauer E. Sources of error in the measurement of aortic diameter in computed tomography scans // J Vasc Surg. 2014. 59:74–9.
44. Peirone A. R., Benson L. N., Freedom R. M. Clinical findings in common arterial trunk. Progress in Pediatric Cardiology, 2002. 15(1), 23–31. DOI: 10.1016/S1058-9813(02)00005-X.
45. Raisky O., Ali, W. ben Bajolle F., Marini, D., Metton O., Bonnet D., Sidi D., Vouhé P.R. Common arterial trunk repair: with conduit or without? // European Journal of Cardio-Thoracic Surgery, 2009. 36(4), 675–682
46. Russell H.M., Jacobs M.L., Anderson R.H., Mavroudis C., Spicer D., Corcrain E., Backer C.L. A simplified categorization for common arterial trunk // The Journal of Thoracic and Cardiovascular Surgery, 2011. 141(3), 645–653
47. Sharma A., Priya S., Jagia P. Persistent truncus arteriosus on dual source CT // Japanese Journal of Radiology, 2016. 34(7), 486–493. DOI: 10.1007/s11604-016-0559-x.
48. Sharland G. Echocardiographic features of common arterial trunk // Progress in Pediatric Cardiology, 2002. 15(1), 33–40.
49. Stapleton G.E., Wilmot I., Suh E.J. Cardiac catheterisation of patients with common arterial trunk and transposition of the great arteries // Cardiology in the Young, 2012. 22(6), 687–690
50. Swanson T.M., Selamet Tierney E.S., Tworetzky W., Pigula F., McElhinney D. B. Truncus Arteriosus: Diagnostic Accuracy, Outcomes, and Impact of Prenatal Diagnosis // Pediatric Cardiology, 2009. 30(3), 256–261
51. Talwar S., Siddharth B., Gupta S.K., Bhoje A., Choudhary S.K. Surgical repair for common arterial trunk with pulmonary dominance, hypoplasia of ascending aorta, and interrupted aortic arch // Ann Pediatr Cardiol 2019. 12:287–91.
52. Thankavel P.P., Brown P.S., Nugent A.W. High-takeoff single coronary artery with intramural course in truncus arteriosus: prospective echocardiographic identification // Pediatr Cardiol. 2013. 4:1517–9
53. Thompson L.D., McElhinney D.B., Reddy V.M., Petrossian E., Silverman N.H., Hanley F.L. Neonatal repair of truncus arteriosus: continuing improvement in outcomes. The Annals of Thoracic Surgery, 2001. 72(2), 391–395
54. Tlaskal T., Chaloupecky V., Hucin B., Gebauer R., Krupickova S., Reich O., Skovranek J., Tax P. Long-term results after correction of persistent truncus arteriosus in 83 patients // European Journal of Cardio-Thoracic Surgery, 2010. 37(6), 1278–1284
55. Valverde I., Gomez-Ciriza G., Hussain T., et al. Three-dimensional printed models for surgical planning of complex congenital heart defects: an international multicentre study // Eur J Cardiothorac Surg 2017. 52 ( 6 ): 1139 – 1148
56. Van Praagh R., Van Praagh S. The anatomy of common aortopulmonary trunk (truncus arteriosus communis) and its embryologic implication. A study of 57 necropsy cases // Am. J. Cardiol. 1965. 16, 406–425.
57. Vohra H.A., Whistance R.N., Chia A.X. et al. Long term follow-up after primary complete repair of common arterial trunk with homograft: a 40 year experience // J. Thorac. Cardiovascular Surg. 2010. 140, 325–329.
58. Volpe P., Paladini D., Marasini M., Buonadonna A. L., Russo M. G., Caruso G., Marzullo A., Vassallo M., Martinelli P., Gentile M. Common arterial trunk in the fetus: Characteristics, associations, and outcome in a multicentre series of 23 cases // Heart. 2003. 89(12), 1437–1441.
59. Wang J.N., Wu M.H., Wang J.K., Lue H.C. Tricuspid atresia with persistent truncus arteriosus. J Formos Med Assoc 1999;98(4):290 –291.
60. Watanabe T., Hojo Y., Smallhorn J.F., Freedom R.M. Truncal valve regurgitation and stenosis in persistent truncus arteriosus: echocardiographic evaluation of pre- and postsurgical states // J Cardiol 1991. 21:993–1000.
61. Williams J.M., de Leeuw M., Black M.D., et al. Factors associated with outcomes of persistent truncus arteriosus // J Am Coll Cardiol 1999. 34:545–53.
62. Williams R.L., Sommerville R. Truncus arteriosus. In: Garson A., Bricker J.T., McNamara D.G., editors. The Science and Practice of Pediatric Cardiology. Philadelphia, PA: Lea and Febiger, 1990:1127–33.
63. Yoo S.J., Min Kim Y., Jung Bae E., Ho Kim S., Yeon Choi J., Sook Park I., Jae Lee H. Cardiac imaging in common arterial trunk // Progress in Pediatric Cardiology, 2002. 15(1), 41–51.
64. Zeevi B., Dembo L., Berant M. Rare variant of truncus arteriosus with intact ventricular septum and hypoplastic right ventricle // Br Heart J 1992. 68:214 –215.
65. Zeevi B., Keane J.F., Perry S.B., Lock J.E. Balloon dilation of postoperative right ventricular outflow obstructions // J Am Coll Cardiol, 1989. 14:401–8.
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Ganiyeva A.A., Rakhimzhanova R.I., Dautov T.B., Kozhakhmetova Zh.Zh., Almussina A.K., Bimakhan A.Zh., Ignatyev V.S. Diagnostic methods for studying the common truncus arteriosus in radiology // Nauka i Zdravookhranenie [Science & Healthcare]. 2024, (Vol.26) 1, pp. 210-219. doi 10.34689/SH.2024.26.1.025Related publications:
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