DOUBLE-HOMOGRAFT REPAIR OF TRUNCUS ARTERIOSUS WITH SEVERE TRUNCAL VALVE DYSFUNCTION

An infant with truncus arteriosus and severe dysfunction of the trunca l valve including both stenosis and insufficiency successfully underwe nt primary repair. This included the insertion of two separate valved homograft conduits. Early outcome has been excellent and the patient i s doing well after 6 months with only echocardiographic evidence of mi ld aortic valve regurgitation. Double-homograft repair is a realistic option in cases of truncus arteriosus with severe malformation of the truncal valve.