Late complication of intramural coronary transfer during the

Interact Cardiovasc Thorac Surg · Apr 2019

Case Reports

Late complication of intramural coronary transfer during the arterial switch operation.

Intramural coronary arteries remain a major risk factor and technical challenge of the arterial switch operation for transposition of the great arteries. We report a 27-year-old woman who presented with acute coronary syndrome late after arterial switch with a complex coronary pattern (intramural left and right coronary from sinus 2). Computed tomography demonstrated that the pericardial 'saddle bag' used to reconstruct the intramural coronary was compressed between the neoaortic root and the neopulmonary trunk. During surgery, the coronary system was laid open into the neoaorta with patch enlargement, and the patient made an uneventful recovery.

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- Victoria M Stoll, Lucy E Hudsmith, Nigel E Drury, and David J Barron.
- Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, UK.
- Interact Cardiovasc Thorac Surg. 2019 Apr 1; 28 (4): 638-639.
AbstractIntramural coronary arteries remain a major risk factor and technical challenge of the arterial switch operation for transposition of the great arteries. We report a 27-year-old woman who presented with acute coronary syndrome late after arterial switch with a complex coronary pattern (intramural left and right coronary from sinus 2). Computed tomography demonstrated that the pericardial 'saddle bag' used to reconstruct the intramural coronary was compressed between the neoaortic root and the neopulmonary trunk. During surgery, the coronary system was laid open into the neoaorta with patch enlargement, and the patient made an uneventful recovery.© The Author(s) 2018. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

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Late complication of intramural coronary transfer during the arterial switch operation.

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