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Technique of Coronary Transfer for TGA with Single Coronary Artery.

Kim TH, Jung JJ, Kim YH, Yang JH, Jun TG - Korean J Thorac Cardiovasc Surg (2014)

Bottom Line: An eight-day-old neonate was diagnosed with dextro-transposition of the great arteries, atrial septal defect, patent ductus arteriosus, and a single sinus origin of the coronary arteries.The single coronary artery originated from the left sinus (sinus 2), had a proximal left circumflex arterial branch, and passed anteriorly to the right side of the aorta, further branching into the right coronary and left anterior descending arteries.We successfully performed an arterial switch operation and coronary transfer by tube graft reconstruction with autologous aortic tissue to treat the dextro-transposition of the great arteries and atrial septal defect with a single-sinus origin of the coronary arteries.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine.

ABSTRACT
An eight-day-old neonate was diagnosed with dextro-transposition of the great arteries, atrial septal defect, patent ductus arteriosus, and a single sinus origin of the coronary arteries. The single coronary artery originated from the left sinus (sinus 2), had a proximal left circumflex arterial branch, and passed anteriorly to the right side of the aorta, further branching into the right coronary and left anterior descending arteries. We successfully performed an arterial switch operation and coronary transfer by tube graft reconstruction with autologous aortic tissue to treat the dextro-transposition of the great arteries and atrial septal defect with a single-sinus origin of the coronary arteries.

No MeSH data available.


Related in: MedlinePlus

(A) Anatomy of single coronary artery in a case of d-transposition of the great arteries and (B) surgical technique used for coronary artery detachment, (C, D) tube graft formation.
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f1-kjtcvs-47-529: (A) Anatomy of single coronary artery in a case of d-transposition of the great arteries and (B) surgical technique used for coronary artery detachment, (C, D) tube graft formation.

Mentions: A male neonate weighing 3.9 kg who exhibited whole body cyanosis and desaturation upon birth was diagnosed with dextro-transposition of the great arteries, atrial septal defect, and patent ductus arteriosus associated with a single coronary artery pattern. The Leiden classification is often used in clinical contexts to describe coronary patterns. In this classification, the right hand of an observer standing within the noncoronary sinus points to sinus 1 and the left hand points to sinus 2. In this patient, a single coronary artery originated from the left sinus (sinus 2), had a proximal left circumflex arterial branch, and passed anteriorly to the right side of the aorta, further branching into the right coronary and left anterior descending arteries. The left circumflex artery passed posteriorly to the pulmonary artery, and the left anterior descending branch passed anteriorly to the aorta (Fig. 1A).


Technique of Coronary Transfer for TGA with Single Coronary Artery.

Kim TH, Jung JJ, Kim YH, Yang JH, Jun TG - Korean J Thorac Cardiovasc Surg (2014)

(A) Anatomy of single coronary artery in a case of d-transposition of the great arteries and (B) surgical technique used for coronary artery detachment, (C, D) tube graft formation.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4279831&req=5

f1-kjtcvs-47-529: (A) Anatomy of single coronary artery in a case of d-transposition of the great arteries and (B) surgical technique used for coronary artery detachment, (C, D) tube graft formation.
Mentions: A male neonate weighing 3.9 kg who exhibited whole body cyanosis and desaturation upon birth was diagnosed with dextro-transposition of the great arteries, atrial septal defect, and patent ductus arteriosus associated with a single coronary artery pattern. The Leiden classification is often used in clinical contexts to describe coronary patterns. In this classification, the right hand of an observer standing within the noncoronary sinus points to sinus 1 and the left hand points to sinus 2. In this patient, a single coronary artery originated from the left sinus (sinus 2), had a proximal left circumflex arterial branch, and passed anteriorly to the right side of the aorta, further branching into the right coronary and left anterior descending arteries. The left circumflex artery passed posteriorly to the pulmonary artery, and the left anterior descending branch passed anteriorly to the aorta (Fig. 1A).

Bottom Line: An eight-day-old neonate was diagnosed with dextro-transposition of the great arteries, atrial septal defect, patent ductus arteriosus, and a single sinus origin of the coronary arteries.The single coronary artery originated from the left sinus (sinus 2), had a proximal left circumflex arterial branch, and passed anteriorly to the right side of the aorta, further branching into the right coronary and left anterior descending arteries.We successfully performed an arterial switch operation and coronary transfer by tube graft reconstruction with autologous aortic tissue to treat the dextro-transposition of the great arteries and atrial septal defect with a single-sinus origin of the coronary arteries.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine.

ABSTRACT
An eight-day-old neonate was diagnosed with dextro-transposition of the great arteries, atrial septal defect, patent ductus arteriosus, and a single sinus origin of the coronary arteries. The single coronary artery originated from the left sinus (sinus 2), had a proximal left circumflex arterial branch, and passed anteriorly to the right side of the aorta, further branching into the right coronary and left anterior descending arteries. We successfully performed an arterial switch operation and coronary transfer by tube graft reconstruction with autologous aortic tissue to treat the dextro-transposition of the great arteries and atrial septal defect with a single-sinus origin of the coronary arteries.

No MeSH data available.


Related in: MedlinePlus