New coronary transfer technique for transposition of the great arteries with a single coronary artery

Nomura, Koji; Nakao, Mitsutaka

doi:10.1016/j.jtcvs.2016.10.068

Cited by 11 publications

(28 citation statements)

References 5 publications

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“…3 To resolve such issues, surgical methods for transferring a single coronary artery or coronary orifices of a single arterial sinus have been introduced and have resulted in favorable early and long-term outcomes. 4 An aortic or pulmonary wall flap can be used to route the coronary artery inside the neo-pulmonary artery, which may result in future obstruction of the neo-pulmonary artery. 5 , 6 In another report, a coronary button was excised along with dissection of the coronary trunk and anastomosed to the neo-aorta, which may result in coronary artery distortion.…”

Section: Discussionmentioning

confidence: 99%

Corridor technique for coronary arteries from a single arterial sinus

Agematsu

Nagashima

Nishimura

et al. 2020

Asian Cardiovasc Thorac Ann

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The introduction of the arterial switch operation has improved the surgical outcome of transposition of the great arteries. However, coronary anomalies such as intramural coronary arteries, single coronary artery, or coronary arteries originating from a single arterial sinus have been reported as independent risk factors for early mortality and late morbidity after an arterial switch operation. We performed an arterial switch operation using a unique technique for translocation of the coronary arteries originating from a single left-side arterial sinus, to prevent coronary artery distortion and subsequent coronary malperfusion.

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Section: Discussionmentioning

confidence: 99%

Corridor technique for coronary arteries from a single arterial sinus

Agematsu

Nagashima

Nishimura

et al. 2020

Asian Cardiovasc Thorac Ann

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“…As previously reported, 13,14 we developed a novel technique to manage d-TGA with a single coronary pattern, including variations wherein all coronary arteries arise from a single aortic sinus. This technique is composed of 3 surgical steps: trimming the coronary cuff from the aorta in continuity with the adjacent noncoronary sinus wall, forming a tubular pouch from the coronary cuff, and anastomosing the pouch with the pulmonary trunk in a side-to-side fashion.…”

Section: Introductionmentioning

confidence: 99%

Aortic Sinus Pouch Technique for Dextro-Transposition of the Great Arteries With a Single or Intramural Coronary Artery

Yamamoto

Nomura

Isobe

et al. 2021

Operative Techniques in Thoracic and Cardiovascular Surgery

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The clinical results of the arterial switch operation (ASO) for dextro-transposition of the great arteries (d-TGA) are less than ideal when the anomaly is associated with an unusual coronary artery pattern, such as a single coronary artery or intramural coronary artery course. We developed a novel technique to deal with d-TGA with a single coronary pattern, including variations in which all the coronary arteries arise from a single aortic sinus. In this procedure, the coronary cuff is trimmed from the aorta together with the adjacent noncoronary sinus wall and is formed into a tubular pouch, which is then anastomosed with the pulmonary trunk in a side-to-side fashion. This technique not only enables extension of the length of the coronary trunk due to the thickness of the pouch, but also allows it to function as a "flexible joint," absorbing the undesired external force on the implanted coronary artery, thereby preventing kinking and distortion of the transplanted coronary artery. In addition, absence of any obstructing structure in the postoperative pulmonary outflow might support a favorable clinical course without the need for re-intervention. Although potential aneurysmal degeneration of the pouch or coronary malperfusion caused by compression of the pouch by the pulmonary trunk needs to be assessed with long-term followup, we believe that our technique is safe, reproducible and technically less demanding than direct coronary transplantation, making it a promising alternative technique for patients with particular coronary patterns that are difficult to deal with using the existing surgical maneuvers. Operative Techniques in Thoracic and Cardiovasculary Surgery 00:1À12

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“…They have previously applied this aortic sinus pouch technique for a patient with a single coronary artery undergoing the ASO. 5 Such implantation of a single coronary button is an interesting approach to deal with an IMCA. In fact, the initial approach to IMCA transfer used by Roger Mee in the 1980s at the Royal Children's Hospital in Melbourne was also a single button transfer of both coronary arteries.…”

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confidence: 99%

Translocation of intramural coronary artery in the arterial switch operation: Divide and conquer?

Fricke

Konstantinov

2018

The Journal of Thoracic and Cardiovascular Surgery

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New coronary transfer technique for transposition of the great arteries with a single coronary artery

Abstract: Single coronary transfer with an aortic sinus pouch. Central MessageWe developed a new coronary transfer technique for dextrotransposition of the great arteries with a single coronary artery.

Cited by 11 publications

References 5 publications

Corridor technique for coronary arteries from a single arterial sinus

Corridor technique for coronary arteries from a single arterial sinus

Aortic Sinus Pouch Technique for Dextro-Transposition of the Great Arteries With a Single or Intramural Coronary Artery

Translocation of intramural coronary artery in the arterial switch operation: Divide and conquer?

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