KEGG   DISEASE: Persistent truncus arteriosus
Entry
H01736                      Disease                                
Name
Persistent truncus arteriosus
Description
Persistent truncus arteriosus (PTA) is a rare congenital condition in which a solitary arterial trunk arises from the base of the heart and supplies the coronary, pulmonary and systemic arteries. It is recognized as the most severe phenotype of outflow tract defect, and survival into adulthood is dismal without surgery. It is often associated with an unfavorable prognosis because complete surgical repair is not always possible. Mutations in the NKX2-6 gene and GATA6 gene have been found in patients with PTA. The association between truncus arteriosus and chromosome 22q11 deletion is well recognized.
Category
Cardiovascular disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 20 Developmental anomalies
  Structural developmental anomalies primarily affecting one body system
   Structural developmental anomalies of the circulatory system
    Structural developmental anomaly of heart or great vessels
     LA85  Congenital anomaly of an atrioventricular or ventriculo-arterial connection
      H01736  Persistent truncus arteriosus
Gene
NKX2-6 [HSA:137814] [KO:K09346]
GATA6 [HSA:2627] [KO:K17897]
Comment
See also H01525 22q11.2 deletion syndrome.
Other DBs
ICD-11: LA85.4
MeSH: D014339
OMIM: 217095
Reference
  Authors
Heathcote K, Braybrook C, Abushaban L, Guy M, Khetyar ME, Patton MA, Carter ND, Scambler PJ, Syrris P
  Title
Common arterial trunk associated with a homeodomain mutation of NKX2.6.
  Journal
Hum Mol Genet 14:585-93 (2005)
DOI:10.1093/hmg/ddi055
Reference
  Authors
Kodo K, Nishizawa T, Furutani M, Arai S, Yamamura E, Joo K, Takahashi T, Matsuoka R, Yamagishi H
  Title
GATA6 mutations cause human cardiac outflow tract defects by disrupting semaphorin-plexin signaling.
  Journal
Proc Natl Acad Sci U S A 106:13933-8 (2009)
DOI:10.1073/pnas.0904744106
Reference
  Authors
McElhinney DB, Driscoll DA, Emanuel BS, Goldmuntz E
  Title
Chromosome 22q11 deletion in patients with truncus arteriosus.
  Journal
Pediatr Cardiol 24:569-73 (2003)
DOI:10.1007/s00246-003-0441-3
Reference
  Authors
Ruan W, Loh YJ, Guo KW, Tan JL
  Title
Surgical correction of persistent truncus arteriosus on a 33-year-old male with unilateral pulmonary hypertension from migration of pulmonary artery band.
  Journal
J Cardiothorac Surg 11:39 (2016)
DOI:10.1186/s13019-016-0435-x
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