Modified Barbero-Marcial repair for type I truncus arteriosus in a 2.7-kg neonate

Lena E. Trager, Gamal Marey, Sameh M. Said

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1 Scopus citations


Truncus arteriosus is a rare cardiac anomaly, accounting for less than 4% of all congenital lesions. It is the result of failed aorticopulmonary septation during the fifth week of gestation leading to a single arterial trunk overriding the interventricular septum, a single semilunar valve, and typically a large conotruncal ventricular septal defect. Several classifications exist, and it typically requires surgical repair in the neonatal period. We present a 5-day old female neonate who was diagnosed postnatally with type I truncus arteriosus in which the pulmonary arteries arose from a discrete pulmonary trunk that originated from the posterolateral aspect of the common arterial trunk. A successful repair was undertaken using a variant of the Barbero-Marcial technique.

Bibliographical note

Publisher Copyright:
© The Author 2022. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.


  • Conotruncal anomaly
  • Conotruncal ventricular septal defect,
  • Decellularized aortic homograft
  • Pulmonary conduit
  • Truncus arteriosus

PubMed: MeSH publication types

  • Video-Audio Media


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