Arterial switch: Translocation of the intramural coronary artery

Asou, Toshihide; Karl, Tom R.; Pawade, Ash; Mee, Roger B.B.

doi:10.1016/0003-4975(94)91018-9

Cited by 100 publications

(94 citation statements)

References 14 publications

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“…2 Overall experience, nonetheless, has shown that it is the so-called intramural origin that produces the greatest problems during surgical correction, 1 although some centers have shown the ability to neutralize this problem. 15 Our study has confirmed that the relationships of the arterial trunks do correlate significantly with certain patterns of coronary arterial branching. We also found correlation with the feature of commissural mismatch.…”

Section: Discussionsupporting

confidence: 72%

“…The missing possibility, in which the right coronary and circumflex arteries arise from sinus 1 and the anterior interventricular artery originates from sinus 2, has similarly not been found in other large series. 4,5,15 Sinusal origin in itself, however, has not been shown to be of great surgical importance. Indeed, to the best of our knowledge, none of the features known to be surgically significant receive recognition in the alphanumeric classifications presently in vogue.…”

Section: Discussionmentioning

confidence: 99%

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Anatomic Variability in Coronary Arterial Distribution With Regard to the Arterial Switch Procedure

et al. 2002

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Background-We investigated the coronary arterial origins and course and the position of the great arteries in hearts with discordant ventriculoarterial connections. At the same time, we sought to evaluate the practicality of alphanumeric classifications in accounting for surgically relevant features of the coronary arteries. Methods and Results-We studied 200 postmortem hearts, noting the patterns of coronary arterial branching, the vertical and horizontal location of the arterial orifices within the aortic sinuses, the course of the proximal coronary arteries in relation to the aortic wall, and the relations of the great arteries and their respective commissures. All hearts examined had concordant atrioventricular and discordant ventriculoarterial connections. We found 7 of the 8 predicted patterns for sinusal origin of the 3 major coronary arteries and identified 5 different positions of the arterial trunks relative to each other. A correlation was found between less frequent relationships of the arterial trunks and unusual patterns of coronary arterial branching, as well as with mismatch between the valvar commissures. Conclusions-The surgically relevant features of the coronary arteries in hearts with discordant ventriculoarterial connections are best described rather than classified. Correlations exist between certain, less frequent relations of the great arteries and unusual patterns of branching of the coronary arteries. The presence of unusual great arterial positions should alert the surgeon to potentially complicated arrangements of the origin and distribution of the coronary arteries.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Anatomic Variability in Coronary Arterial Distribution With Regard to the Arterial Switch Procedure

et al. 2002

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“…Furthermore, in 90-94 % of such patients, the intramural course of the affected coronary artery was noted [9,10]. The intramural left coronary artery ran inside the aortic wall anteriorly or posteriorly and takes off from the aorta at the left coronary sinus [11]. The ACC/AHA writing committee [8] recommended that surgical coronary revascularization should be performed in such a high-risk group of patients.…”

Section: Importance Of Awareness Of Congenital Coronary Anomalies Formentioning

confidence: 99%

“…The ACC/AHA writing committee [8] recommended that surgical coronary revascularization should be performed in such a high-risk group of patients. Excellent outcomes have been reported with a unroofing technique for the intramural course of the coronary artery between the aorta and the pulmonary artery [9][10][11].…”

Section: Importance Of Awareness Of Congenital Coronary Anomalies Formentioning

confidence: 99%

“…Coronary anomaly was frequently associated with some congenital heart defects such as transposition of the great arteries [11], tetralogy of Fallot, supraaortic stenosis and pulmonary atresia with intact ventricular septum [13]. Then, coronary anomalies in GUCH patients have become important issues for adult cardiac surgeons, as well as pediatric cardiac cardiologists and surgeons.…”

Section: Importance Of Awareness Of Congenital Coronary Anomalies Formentioning

confidence: 99%

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Surgical treatment of a patient with heart disease and congenital coronary anomaly

Asou

2012

Gen Thorac Cardiovasc Surg

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Angiographic evidence of long-axis rotation in addition to short-axis aortopulmonary rotation: Its implication in transposition of the great arteries

Chiu

Wang

et al. 1996

Cathet. Cardiovasc. Diagn.

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Arterial switch: Translocation of the intramural coronary artery

Cited by 100 publications

References 14 publications

Anatomic Variability in Coronary Arterial Distribution With Regard to the Arterial Switch Procedure

Anatomic Variability in Coronary Arterial Distribution With Regard to the Arterial Switch Procedure

Surgical treatment of a patient with heart disease and congenital coronary anomaly

Angiographic evidence of long-axis rotation in addition to short-axis aortopulmonary rotation: Its implication in transposition of the great arteries

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