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Truncus Arterious Repair Treatment in India

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Dr. Naresh Trehan
Dr. Naresh Trehan

Chairman And Managing Director - Medanta Heart Institute

CONSULTS AT

Medanta - The Medicity

EXPEREIENCE :
43 years
SURGERIES :
48000+

Treatment Price on request

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Treatment Price on request

Dr. Naresh Trehan
Dr. Naresh Trehan

Chairman And Managing Director - Medanta Heart Institute

CONSULTS AT

Medanta - The Medicity

EXPEREIENCE :
43 years
SURGERIES :
48000+
Dr. Muthu Jothi
Dr. Muthu Jothi

Sr. Consultant - Paediatric Cardio Thoracic And Vascular Surgery

CONSULTS AT

Indraprastha Apollo Hospital

EXPEREIENCE :
26 years
SURGERIES :
15000+

Treatment Price on request

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Treatment Price on request

Dr. Muthu Jothi
Dr. Muthu Jothi

Sr. Consultant - Paediatric Cardio Thoracic And Vascular Surgery

CONSULTS AT

Indraprastha Apollo Hospital

EXPEREIENCE :
26 years
SURGERIES :
15000+
Dr. Krishna Iyer
Dr. Krishna Iyer

Executive Director- Pediatric And Congenital Heart Surgery).

CONSULTS AT

Fortis Escorts Heart Institute

EXPEREIENCE :
30 years
SURGERIES :
NA

Treatment Starting at $4,000

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Treatment Starting at $4,000

Dr. Krishna Iyer
Dr. Krishna Iyer

Executive Director- Pediatric And Congenital Heart Surgery).

CONSULTS AT

Fortis Escorts Heart Institute

EXPEREIENCE :
30 years
SURGERIES :
NA
Dr Gaurav Kumar
Dr Gaurav Kumar

Director - Pediatric Surgery

CONSULTS AT

Fortis Escorts Heart Institute

EXPEREIENCE :
20 years
SURGERIES :
5000+

Treatment Starting at $4,000

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Treatment Starting at $4,000

Dr Gaurav Kumar
Dr Gaurav Kumar

Director - Pediatric Surgery

CONSULTS AT

Fortis Escorts Heart Institute

EXPEREIENCE :
20 years
SURGERIES :
5000+
Dr. Vijit K. Cherian
Dr. Vijit K. Cherian

Director - Adult Cardiothoracic Surgery

CONSULTS AT

Miot Hospital Chennai

EXPEREIENCE :
20 years
SURGERIES :
NA

Treatment Starting at $2,300

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Treatment Starting at $2,300

Dr. Vijit K. Cherian
Dr. Vijit K. Cherian

Director - Adult Cardiothoracic Surgery

CONSULTS AT

Miot Hospital Chennai

EXPEREIENCE :
20 years
SURGERIES :
NA
Dr Amit Misri
Dr Amit Misri

Senior Consultant - Paediatrics Cardiology

CONSULTS AT

Medanta - The Medicity

EXPEREIENCE :
24 years
SURGERIES :
NA

Treatment Starting at $6,000

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Treatment Starting at $6,000

Dr Amit Misri
Dr Amit Misri

Senior Consultant - Paediatrics Cardiology

CONSULTS AT

Medanta - The Medicity

EXPEREIENCE :
24 years
SURGERIES :
NA

Introduction

Truncus arteriosus is a rare congenital heart defect that affects the normal development of the heart during fetal growth. In this condition, the pulmonary artery and the aorta fail to separate properly, resulting in a single large blood vessel arising from both ventricles. This fusion creates a mixture of oxygenated and deoxygenated blood, putting immense strain on the heart and the lungs. Truncus arteriosus requires immediate medical intervention, and surgical repair is the most common and effective treatment. In this blog, we will delve into the intricacies of truncus arteriosus repair, exploring the surgical procedure and the transformative impact it has on the lives of affected individuals.

Understanding Truncus Arteriosus

Before delving into the repair procedure, let's take a moment to understand truncus arteriosus and its impact on the heart's functioning. In a healthy heart, the aorta carries oxygenated blood from the left ventricle to the body, while the pulmonary artery carries deoxygenated blood from the right ventricle to the lungs for oxygenation. However, in cases of truncus arteriosus, both the aorta and pulmonary artery arise from a single vessel, resulting in a mixed flow of blood.

This condition leads to several complications, including inadequate oxygen supply to the body, increased workload on the heart, and potential damage to the lungs over time. Symptoms often appear shortly after birth and may include bluish skin (cyanosis), difficulty breathing, poor feeding, and fatigue. If left untreated, truncus arteriosus can lead to severe complications such as heart failure, respiratory problems, and developmental delays.

The Surgical Repair

Truncus arteriosus repair is a complex surgical procedure that aims to separate the pulmonary artery from the aorta, allowing the two blood vessels to function independently. The surgery is typically performed during the first few months of life, ideally within the first few weeks after birth, to prevent further damage to the heart and improve the child's chances of a healthier life.

The surgical repair procedure can be summarized in the following steps:

  • Anesthesia: Before the surgery begins, the child is put under general anesthesia to ensure they remain unconscious and pain-free throughout the operation.
  • Chest Incision: The surgeon makes an incision in the child's chest to access the heart and the faulty blood vessels.
  • Heart-Lung Bypass: To perform the repair, the surgeon places the child on a heart-lung bypass machine. This machine temporarily takes over the functions of the heart and lungs, allowing the surgeon to work on the heart in a bloodless environment.
  • Separation of the Vessels: The surgeon carefully separates the pulmonary artery from the aorta, creating two distinct blood vessels. In some cases, a patch may be used to close the hole in the wall of the heart that remains after the separation.
  • Closing the Incision: After the repair is complete, the surgeon closes the incision in the chest using sutures or surgical staples.

Recovery and Outlook

Following the surgery, the child is closely monitored in the intensive care unit (ICU) to ensure the heart is functioning properly. Recovery times can vary, but with modern medical advancements and attentive post-operative care, many children show remarkable progress in a relatively short time.

With successful truncus arteriosus repair, the heart can function more efficiently, and the body receives a better supply of oxygenated blood. As a result, the child's overall health and quality of life improve significantly. However, long-term follow-up care is essential to monitor the heart's condition, growth, and development.

Conclusion

Truncus arteriosus repair is a life-changing surgical procedure that restores hope for children born with this complex congenital heart defect. Thanks to the skill and dedication of cardiac surgeons, along with advances in medical technology and post-operative care, many affected individuals can go on to lead healthy and fulfilling lives.

Early diagnosis, prompt medical intervention, and ongoing support for affected children and their families are critical in improving outcomes. Through continued research and awareness, we can pave the way for even better treatments and outcomes, offering a brighter future for those born with truncus arteriosus.

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FAQs

Truncus arteriosus is a congenital heart defect, meaning it is present at birth. It occurs during the early stages of fetal development when the heart is forming. The exact cause of truncus arteriosus is not always known, but genetic factors and certain environmental influences during pregnancy may play a role.
Truncus arteriosus is considered a rare congenital heart defect, accounting for approximately 1-3% of all congenital heart anomalies. It is more commonly diagnosed in newborns and infants.
Yes, in many cases, truncus arteriosus can be detected during routine prenatal ultrasound screenings. However, the diagnosis may not be conclusive until a more detailed fetal echocardiogram is performed. Early detection allows for proper medical planning and preparation for the surgical repair after birth.
Truncus arteriosus repair is a major surgical procedure and does carry some risks, as with any open-heart surgery. However, with advancements in surgical techniques and post-operative care, the risks have significantly reduced. The surgery is often necessary to improve the child's overall health and quality of life.
Recovery times can vary depending on the child's overall health, the complexity of the surgery, and any post-operative complications. Generally, children will spend several days to weeks in the hospital, with ongoing follow-up care. Most children show significant improvement within a few months after surgery.
Regular follow-up visits with a pediatric cardiologist are essential to monitor the child's heart function and growth. In some cases, additional procedures or interventions may be needed in the future to address any residual issues or complications.
With successful truncus arteriosus repair and proper post-operative care, many children can lead healthy and active lives. However, some individuals may have certain restrictions or require ongoing medical supervision. Each case is unique, and the child's overall health and specific heart condition will influence the long-term outlook. With appropriate medical attention and support, many children can achieve a good quality of life.

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