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Modification of the arterial switch procedure in the presence of a rare coronary arterial pattern

Published online by Cambridge University Press:  14 April 2005

Christian Schreiber ,
Jürgen Hörer  and
Rüdiger Lange
Christian Schreiber
Affiliation:
Clinic of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany
Jürgen Hörer
Affiliation:
Clinic of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany
Rüdiger Lange
Affiliation:
Clinic of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany
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Abstract

Numerous techniques have been described for translocation of the coronary arteries in the setting of the arterial switch procedure. In the case we describe, the close alignment to the aortic and the pulmonary wall of the main stem supplying the left anterior descending and circumflex arteries, and dual origin of this vessel and the right coronary artery from sinus #2, required an individual approach. After taking down the main stem feeding the left anterior descending and circumflex arteries in the usual manner, we opted for a connection maintaining the artery in its existing site, and punched a hole into the neo-aorta just in front of the coronary orifice. We then used a piece of glutaraldehyde-preserved pericardium as a hood, anastomosing the right coronary artery to the new aorta by means of the usual trap door technique.

Keywords

Transpositioncomplex coronary anatomyintramural coronary artery
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 1 , January 2005 , pp. 82 - 84
Copyright
2005 Cambridge University Press

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