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Coronary arterial anatomy in regard to the arterial switch procedure

Published online by Cambridge University Press:  19 August 2008

Hiromi Kurosawa*
Affiliation:
Department of Pediatric Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo
Yasuharu Imai
Affiliation:
Department of Pediatric Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo
Masaaki Kawada
Affiliation:
Department of Pediatric Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo
*
Dr. Hiromi Kurosawa Dept. of Pediatric Cardiac Surgery, the Heart Institute of Japan, Tokyo Women's Medical College, 8–1 Kawadacho, Shijuku-ku, Tokyo 162, Japan

Summary

Since the success of the arterial switch procedure is dependent on the successful translocation of the coronary arteries, a thorough understanding of the anatomic variations of the coronary arteries is essential. We reviewed the anatomy of the coronary arteries encountered in 140 consecutive cases undergoing the arterial switch procedure for complete transposition at the Heart Institute of Japan. The anatomic variations, described using the Shaher and Puddu classification, varied significantly, requiring alteration in the surgical technique.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1991

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References

1.Kurosawa, H, Imai, Y, Takanashi, Y, Hoshino, S, Sawatari, K, Kawada, M, Takao, A. Infundibular septum and coronary anatomy in Jatene operation. J Thorac Cardiovasc Surg 1986; 91: 572583.CrossRefGoogle ScholarPubMed
2.Shaher, RM, Puddu, GC. Coronary arterial anatomy in complete transposition of the great vessels. Am J Cardiol 1966; 17: 355361.CrossRefGoogle ScholarPubMed
3.Gittenberger-de-Groot, AC, Sauer, U, Oppenheimer-Dekker, A, Quaegebeur, J. Coronary arterial anatomy in transposition of the great arteries. A morphologic study. Ped Cardiol 1983; 4(Suppl I): 1 1524.Google Scholar
4.Anderson, RH, Henry, GW, Becker, AE. Morphologic aspects of complete transposition. Cardiol Young 1989; 1: 4153.CrossRefGoogle Scholar
5.Yacoub, MH, Radley-Smith, R. Anatomy of the coronary arteries in transposition of the great arteries and methods for their transfer in anatomical correction. Thorax 1978; 33:418428.CrossRefGoogle ScholarPubMed
6.Elliott, LP, Neufeld, HN, Anderson, RC, Adams, P Jr, Edwards, JE. Complete transposition of the great vessels. An anatomic study of 60 cases. Circulation 1963; 27: 11051117.CrossRefGoogle Scholar
7.Jatene, AD. Anatomic correction of transposition of the great arteries. J Thorac Cardiovasc Surg 1982; 83: 2026.CrossRefGoogle ScholarPubMed
8.Lecompte, Y, Zannini, L, Hazan, E, Jarreau, MM, Bex, JP, Tu, TV, Neveux, JT. Anatomic correction of transposition of the great arteries. A new technique without use of a prosthetic conduit. J Thorac Cardiovasc Surg 1981; 82: 629631.CrossRefGoogle Scholar
9.Aubert, J, Pannetier, A, Couvelly, P, Unal, D, Rouault, F, Delarue, A. Transposition of the great arteries. New technique for anatomical correction. Brit Heart J 1978; 40: 204208.CrossRefGoogle ScholarPubMed