Reverse Anastomosis Technique for the Treatment of a Rare Coronary Artery Anomaly in D-Transposition of the Great Arteries

Abstract

Arterial switch operation remains the gold standard surgical therapy for D-transposition of the great vessels. Coronary anomalies may complicate the surgical strategy and lead to an increased morbidity and mortality. However, as of today, even challenging coronary anomalies should not be a contraindication for the performance of complete repair. Here, we describe a technique for the translocation of an intramural, high-origin conal branch in a 5-month-old patient with D-transposition of the great vessels and ventricular septal defect.

Keywords

coronary artery - arterial switch procedure - D-transposition of the great arteries - surgical technique

• Reference

• 1 Bilal MS, Bakir I, Aydemir NA, Cine N, Erdem A, Celebi A. Two challenging translocation procedures for intramural coronary arteries in the setting of transposition of great arteries. Congenit Heart Dis 2008; 3 (5) 352-354