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Truncus Arteriosus — RACP Paediatrics MCQ

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ModerateCardiologyTruncus ArteriosusRACP Paediatrics

A neonate presents with severe cyanosis. Echocardiography shows a single large arterial trunk arising from the heart, overriding a large VSD. What is the diagnosis?

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Correct answer: CTruncus arteriosus

Truncus arteriosus (persistent truncus) is a single arterial trunk giving rise to the aorta, pulmonary arteries, and coronary arteries, with a large VSD. It requires early surgical repair (typically within the first few weeks of life) with VSD closure and RV-to-PA conduit.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Truncus Arteriosus