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Rationalising the nomenclature of common arterial trunk*

Published online by Cambridge University Press:  18 January 2013

Marshall L. Jacobs  and
Robert H. Anderson
Marshall L. Jacobs*
Affiliation:
Department of Pediatric and Congenital Heart Surgery, Cleveland Clinic, Cleveland, Ohio, United States of America
Robert H. Anderson
Affiliation:
Institute of Genetic Medicine, Newcastle University, Newcastle-upon-Tyne, United Kingdom
*
Correspondence to: Dr M. L. Jacobs, MD, Department of Pediatric and Congenital Heart Surgery, Cleveland Clinic, 6019 Goshen Road, Newtown Square, Pennsylvania 19073, United States of America. Tel: 216 444 8912; E-mail: marshall.jacobs@comcast.net
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Abstract

Hearts having a common arterial trunk belong to a family of congenital cardiac malformations for which traditional systems of classification and nomenclature are plagued by internal paradoxes, incompatibility between systems due to the lack of potential for identification of synonyms, or irreconcilable inconsistencies with our current knowledge of cardiac development and morphology. A simplified categorisation that classifies these hearts on the basis of pulmonary or aortic dominance reconciles the existing disparate categorisations, is in keeping with recent findings concerning cardiac development, and emphasises the principal morphologic determinant of surgical outcome.

Keywords

Persistent truncus arteriosuscommon aorticopulmonary trunkaortic dominancepulmonary dominance

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Footnotes

*

Presented at: 12th Annual International Symposium on Congenital Heart Disease, February 17–21, 2012, All Children's Hospital, Saint Petersburg, Florida, United States of America.

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