Arterial Switch Operation With a Single Coronary Artery: The Autograft Concept

• Published in: The Annals of thoracic surgery Vol. 87; no. 6; pp. 1967 - 1968
• Main Authors: Macé, Loïc, MD, PhD, Vanhuyse, Fabrice, MD, Jellimann, Jean-Marc, MD, Youssef, Dany, MD, Moulin-Zinsch, Anne, MD, Lethor, Jean-Paul, MD, Marçon, François, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-06-2009; Elsevier
• Subjects: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Cardiothoracic Surgery; Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava; Coronary Vessel Anomalies - surgery; Coronary Vessels - surgery; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Heart; Humans; Infant, Newborn; Male; Medical sciences; Pneumology; Surgery; Transposition of Great Vessels - surgery; Vascular Surgical Procedures - methods; 21; Concept; Single coronary artery; Cardiovascular disease; Operation; Coronary heart disease; Congenital disease; Arterial disease; Vascular disease; Autograft; Treatment; Malformation; Surgery; Graft; Anesthesia; Circulatory system; Cardiology
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2008.09.044

A single coronary artery, especially if associated with anterior looping, remains a risk factor when performing an arterial switch operation for transposition of the great arteries. In such a situation, to avoid the risk of overstretching, we used a modification of the aortic autograft concept to transfer the single coronary artery, resulting in a tension-free relocation.