Late complication of intramural coronary transfer at arterial switch operation

Victoria Stoll, LE Hudsmith, Nigel Drury, David Barron

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Abstract

Intra-mural 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 presenting with an acute coronary syndrome late after arterial switch with a complex coronary pattern (intramural left and right coronary from sinus two). CT demonstrated that the pericardial ‘saddle bag’ used to reconstruct the intramural coronary was compressed between the neo-aortic root and neo-pulmonary trunk. At surgery, the coronary system was laid open into the neo-aorta with patch enlargement and the patient made an uneventful recovery.
Original languageEnglish
Article numberivy289
Number of pages2
JournalInteractive CardioVascular and Thoracic Surgery
Early online date30 Oct 2018
DOIs
Publication statusE-pub ahead of print - 30 Oct 2018

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