Korean J Thorac Cardiovasc Surg.  2014 Dec;47(6):529-532. 10.5090/kjtcs.2014.47.6.529.

Technique of Coronary Transfer for TGA with Single Coronary Artery

• Kim TH
• Jung JJ
• Kim YH
• Yang JH
• Jun TG

• KMID: 2382205
• DOI: http://doi.org/10.5090/kjtcs.2014.47.6.529

Abstract

An eight-day-old neonate was diagnosed with dextro-transposition of the great arteries, atrial septal defect, patent ductus arteriosus, and a single sinus origin of the coronary arteries. The single coronary artery originated from the left sinus (sinus 2), had a proximal left circumflex arterial branch, and passed anteriorly to the right side of the aorta, further branching into the right coronary and left anterior descending arteries. We successfully performed an arterial switch operation and coronary transfer by tube graft reconstruction with autologous aortic tissue to treat the dextro-transposition of the great arteries and atrial septal defect with a single-sinus origin of the coronary arteries.

Keyword

Congenital heart disease (CHD); Great vessel anomalies; Transposition; Coronary vessels

MeSH Terms

Aorta
Arteries
Coronary Vessels*
Ductus Arteriosus, Patent
Heart Septal Defects, Atrial
Humans
Infant, Newborn
Transplants