Arterial switch operation with a single coronary artery

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Arterial switch operation with in situ coronary reallocation for transposition of great arteries with single coronary artery.

OBJECTIVES Transposition of great arteries (TGA) with single coronary artery pattern is one of the high-risk groups for arterial switch operation (ASO). Any traction or kinking during coronary transfer can lead to a fatal outcome. With increase in experience, surgical results improved, but it did not completely eliminate the risks of coronary translocation. Many techniques have been described f...

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A case of arterial switch operation with coronary elongation technique

A 28-day-old infant with D-transposition of the great arteries underwent arterial switch operation. The coronary pattern was Yacoub type A, in which coronary transfer is usually thought to be easy. However, a dominant conus branch diverged from the proximal portion of the left coronary artery (LCA). Moreover, the LCA ostium itself was near the remote commissure in sinus 1, very far from the tar...

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Arterial switch operation with separate coronary arteries arising from a single aortic sinus.

In some patients, the coronary arteries originate in a single aortic sinus, and this anatomical configuration is regarded as a significant risk factor in the arterial switch operation for transposition of the great arteries. In these cases, the coronary transfer technique has to be individualized to suit the coronary anatomy (i.e., a single ostium or separate ostia). Since 2001, we have operate...

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Late coronary artery lesions after neonatal arterial switch operation: results of surgical coronary revascularization.

OBJECTIVE To evaluate the results of surgical revascularization in children with coronary artery lesions following neonatal arterial switch operation (ASO). METHODS Among 755 neonates who underwent ASO, there were 713 late survivors (94%). Coronary lesions were detected in 34 patients (5%). Coronary revascularization was carried out in 19 children (mean age: 5.6+/-3.2 years) in whom myocardia...

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Arterial Switch Operation in Patients with Intramural Coronary Artery: Early and Mid-term Results

BACKGROUND The intramural coronary artery has been known as a risk factor for early death after an arterial switch operation (ASO). We reviewed the morphological characteristics and evaluated the early and mid-term results of ASO for patients with an intramural coronary artery. MATERIALS AND METHODS From March 1994 to September 15th 2010, 158 patients underwent ASO at Dong-A and Pusan Nationa...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 2002

ISSN: 0022-5223

DOI: 10.1067/mtc.2002.118047