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Common Arterial Trunk With Aortic Dominance C4546067

Published: July 22, 2026Updated: August 20, 2026
Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
Q20.0
ICD-11
LA00.0
Body system
cardiovascular
Severity
critical
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Warning signs - seek immediate care

!

Chest discomfort or palpitations

Symptoms may be severe and require urgent medical attention.

Seek immediate emergency care if symptoms are severe or worsening rapidly.

!

Neonatal cyanosis

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Feeding difficulty with diaphoresis

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Failure to thrive in infancy

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Hepatomegaly

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Disease management and monitoring

Requires immediate emergency medical intervention. Do not delay treatment.

procedure
2

Complete Truncal Valve Repair with Right Ventricular Outflow Tract Reconstruction

Definitive surgical repair establishing separate pulmonary and systemic circulation, typically involving truncal valve repair and RVOT reconstruction.

surgical
3

Pre-Operative Stabilization with Prostaglandin Infusion

Prostaglandin E1 infusion to maintain ductal patency and ensure adequate systemic or pulmonary blood flow until definitive surgical repair.

medication

Additional treatment options

Congestive Heart Failure Management

Medical management of heart failure symptoms including diuretics and afterload reduction to optimize patient condition prior to surgical repair.

medication

Cardiac Catheterization and Hemodynamic Assessment

Diagnostic catheterization to assess coronary anatomy, pulmonary artery anatomy, and truncal valve function prior to surgical planning.

monitoring

Long-Term Cardiac Surveillance

Lifelong echocardiographic and clinical monitoring for truncal valve function, ventricular function, and pulmonary artery development.

monitoring

When to seek medical help

Recognize when you need immediate medical attention.

Call emergency services (911) immediately

!

Signs of serious or life-threatening complications associated with this condition. Immediate medical evaluation is required.

Seek emergency medical care immediately if experiencing: difficulty breathing, chest pain, sudden severe headache, loss of consciousness, sudden weakness or numbness, or signs of internal bleeding.

Frequently asked questions

Common questions about this topic.

Q

What is Common Arterial Trunk With Aortic Dominance C4546067?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Brownlie RM, Patel MS, Thomson J. Guidelines for the management of common arterial trunk with aortic dominance. Cardiol Young. 2022.

guideline2022
2

Ferreira JF, Okonkwo JD, Martinez VM. Truncus arteriosus with aortic arch dominance: surgical outcomes and long-term follow-up. Ann Thorac Surg. 2021.

review2021
3

Nakamura K, Williams-Clarke P, Anderson RJ. Neonatal repair strategies for common arterial trunk: a multicenter prospective study. J Thorac Cardiovasc Surg. 2020.

other2020
4

Schwartz ML, O'Sullivan KM, Gupta R, Lee HJ. Right ventricular outflow tract reconstruction in truncus arteriosus with aortic dominance: systematic review and meta-analysis. Eur J Cardiothorac Surg. 2023.

meta_analysis2023

Medication Comparisons

Compare medications used to treat Common Arterial Trunk With Aortic Dominance C4546067. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy