Transposition of Great Arteries with Left Main Coronary Artery Atresia—Case Report

Background  The coronary artery anatomy in patients with transposition of the great artery (TGA) is a contributing factor for outcome in arterial switch procedure. Case Presentation  A full-term, 7-day-old baby boy diagnosed as dextro-TGA (dTGA) with intact ventricular septum. Intraoperatively, the...

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Autores principales: Elmahrouk, Ahmed F., Hamouda, Tamer, Ismail, Mohamed F., Jamjoom, Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864522/
https://www.ncbi.nlm.nih.gov/pubmed/29577005
http://dx.doi.org/10.1055/s-0038-1637737
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author Elmahrouk, Ahmed F.
Hamouda, Tamer
Ismail, Mohamed F.
Jamjoom, Ahmed
author_facet Elmahrouk, Ahmed F.
Hamouda, Tamer
Ismail, Mohamed F.
Jamjoom, Ahmed
author_sort Elmahrouk, Ahmed F.
collection PubMed
description Background  The coronary artery anatomy in patients with transposition of the great artery (TGA) is a contributing factor for outcome in arterial switch procedure. Case Presentation  A full-term, 7-day-old baby boy diagnosed as dextro-TGA (dTGA) with intact ventricular septum. Intraoperatively, the left coronary sinus had a blind indentation from which a firm cord-like left main coronary artery originates. Procedure completed as usual for a routine arterial switch operation. Conclusion  About 5% of patients with D-TGA have a single coronary artery. Assessment of blood flow to all branches intraoperatively is mandatory to choose between either transfer of single ostium or bypass grafting to the other coronary system.
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spelling pubmed-58645222018-03-23 Transposition of Great Arteries with Left Main Coronary Artery Atresia—Case Report Elmahrouk, Ahmed F. Hamouda, Tamer Ismail, Mohamed F. Jamjoom, Ahmed Thorac Cardiovasc Surg Rep Background  The coronary artery anatomy in patients with transposition of the great artery (TGA) is a contributing factor for outcome in arterial switch procedure. Case Presentation  A full-term, 7-day-old baby boy diagnosed as dextro-TGA (dTGA) with intact ventricular septum. Intraoperatively, the left coronary sinus had a blind indentation from which a firm cord-like left main coronary artery originates. Procedure completed as usual for a routine arterial switch operation. Conclusion  About 5% of patients with D-TGA have a single coronary artery. Assessment of blood flow to all branches intraoperatively is mandatory to choose between either transfer of single ostium or bypass grafting to the other coronary system. Georg Thieme Verlag KG 2018-01 2018-03-22 /pmc/articles/PMC5864522/ /pubmed/29577005 http://dx.doi.org/10.1055/s-0038-1637737 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Elmahrouk, Ahmed F.
Hamouda, Tamer
Ismail, Mohamed F.
Jamjoom, Ahmed
Transposition of Great Arteries with Left Main Coronary Artery Atresia—Case Report
title Transposition of Great Arteries with Left Main Coronary Artery Atresia—Case Report
title_full Transposition of Great Arteries with Left Main Coronary Artery Atresia—Case Report
title_fullStr Transposition of Great Arteries with Left Main Coronary Artery Atresia—Case Report
title_full_unstemmed Transposition of Great Arteries with Left Main Coronary Artery Atresia—Case Report
title_short Transposition of Great Arteries with Left Main Coronary Artery Atresia—Case Report
title_sort transposition of great arteries with left main coronary artery atresia—case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864522/
https://www.ncbi.nlm.nih.gov/pubmed/29577005
http://dx.doi.org/10.1055/s-0038-1637737
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