TY - CHAP M1 - Book, Section TI - Truncus Arteriosus A1 - Doherty, Gerard M. Y1 - 2010 N1 - T2 - Quick Answers Surgery AB - • A congenital heart lesion that increases pulmonary arterial blood flow• Results in left-to-right shunt, results in lung infection, pulmonary vascular congestion, pulmonary artery (PA) hypertension, right heart failure, pulmonary vasoconstriction, pulmonary vascular obstructive disease• Eisenmenger syndrome: Increased pulmonary hypertension such that left-to-right shunt ceases and shunt becomes right-to-left, requiring heart-lung transplant• Inhaled nitric oxide, oxygen, or IV tolazoline reverses PA vasoconstriction• PA band is palliative and can reduce PA flow to alleviate RV failure and progression of pulmonary hypertension• Single large truncal vessel overrides ventricular septum and distributes all blood ejected from heart• Truncal root bifurcates into pulmonary trunk and aorta• Ventricular septal defect (VSD) present usually direct beneath truncal valve• Atrial septal defect (ASD) (> 40%), interrupted aortic arch (10%), abnormal origins of coronary artery• In most cases, pulmonary flow is increased SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/25 UR - accesssurgery.mhmedical.com/content.aspx?aid=58103886 ER -