Overview

What is truncus arteriosus in a child?

Truncus arteriosus (TA) is a severe heart defect that a person is born with. In a normal heart, two distinct major vessels are leaving the heart.

  • The aorta carries oxygen-rich blood to the body.
  • he pulmonary artery carries oxygen-poor blood to the lungs for oxygenation.

In a child with truncus arteriosus, only one large vessel leaves the heart rather than two. This single vessel is abnormally connected to both the aorta and pulmonary artery. There is generally only one valve controlling this vessel instead of the usual two separate valves.

What are the symptoms of Truncus Arteriosus in a Child?

Truncus Arteriosus (TA) symptoms usually show shortly after birth. Symptoms include-

The bluish color of the skin (cyanosis) results from insufficient oxygen in the blood.

  • Rapid breathing or brevity of breath: The baby finds it difficult to breathe comfortably
  • Difficulty with feeding and weight loss: The baby can quickly get exhausted while feeding, resulting in weight loss due to low oxygen and energy.
  • Heart murmur: A doctor may identify abnormal heart sounds by listening with a stethoscope.
  • Sweating: More so when feeding or exercising.

What causes Truncus Arteriosus (TA)?

At birth, all babies come into the world with one large vein (the truncus) that arises from the heart. The truncus separates into the pulmonary artery and aorta as the baby matures. Truncus arteriosus occurs when this separation does not take place. A failure to separate also results in the VSD.

Medical researchers are currently studying to determine the underlying cause of this particular type of congenital heart defect in some fetuses. Changes in some genes could be the cause. DiGeorge syndrome is a chromosomal defect seen in one-third of children diagnosed with tricus arteriosus. This condition additionally has issues with the immune system and developmental delays, aside from the heart defects.

How do doctors diagnose truncus arteriosus?

Sometimes, an antenatal ultrasound that occurs during pregnancy identifies this heart defect. Nevertheless, you will likely receive a fetal echocardiogram if an ultrasound indicates an implicit problem. This type of ultrasound produces pictures of the fetal heart. Shortly after your baby is born, a healthcare provider can use an echocardiogram to diagnose truncus arteriosus.

What is the treatment of Truncus Arteriosus (TA)?

Truncus arteriosus is a life-changing condition that must be operated on shortly after birth to correct the abnormal blood inflow. Different surgical approaches depend on the specific deconstruction of the child's heart.

Will my child need other treatments?

Children with truncus arteriosus have a high risk of developing a life-threatening bacterial heart infection known as endocarditis. Your child may require antibiotics before any dental appointment or surgical procedure. Your child will probably require cardiac catheterizations (a method to inspect inside the heart visually) and reprise surgery to repair either the truncal valve (new aortic valve) or the prosthetic tube utilized in creating the new pulmonary artery.

What are the complications of Truncus arteriosus?

  • Mixing of blood: Since there is only one vessel and valve, oxygen-rich and oxygen-poor bloods mix inside the heart. This reduces the amount of oxygen delivered to the body's organs.
  • Blood influx into the lungs increases: The abnormal connection can cause more blood than usual to flow into the lungs and overload the heart.

Will my child need additional surgeries for truncus arteriosus?

As the child's heart and body grow, they will need two or three operations to replace the artificial pulmonary artery with more oversized tubes. However, your child may get an artificial valve if the truncal valve becomes thickened and dense. Some need relief procedures with another canal and valve during the majority.

Scant Few Cases The prosthetic artery sometimes becomes narrowed or blocked. Your child's provider may perform a catheter-based procedure with a balloon device to dilate it. Or the provider may place a stent (small tube) in the artery to keep it open.

Living With

When should I call the doctor?

You should contact your provider if your child develops:

  • Blue or grayish skin color. Irregular heartbeat or meter.
  • Chest pain or difficulty in breathing.
  • Dizziness or fainting
  • Severe Fatigue
  • Loss of appetite or unexplained weight loss.

Why Tender Palm Super-Speciality Hospital for Pediatric Truncus Arteriosus?

Tender Palm Hospital has the most experienced team of Pediatric Cardiologists, Pediatric Cardiac Surgeons, and diagnostics with the latest and International standard infection control measures in Lucknow, India. Pediatric cardiac science centre team has decades of experience in successfully treating Pediatric Truncus Arteriosus.

To seek an expert consultation for Pediatric Truncus Arteriosus in Lucknow, India

Call us at +91-9076972161
Email at care@tenderpalm.com

Request an Appointment
Mon - Sat 9:00 AM to 6:00 PM IST

Our Experts

Dr. Krishna Kumar Sahani
Dr. Krishna Kumar Sahani
Consultant - Cardiology

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