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Thorac Cardiovasc Surg 1985; 33(3): 197-199
DOI: 10.1055/s-2007-1014118
Case Report

© Georg Thieme Verlag Stuttgart · New York

Surgical Implications of Early Branching of the Left Coronary Artery in Anatomic Correction of Transposition of the Great Arteries

H. -H. Sievers, P. E. Lange, P. H. Heintzen, A. Bernhard
  • Departments of Cardiovascular Surgery and Pediatric Cardiology, University of Kiel, FRG
Further Information

Publication History

1984

Publication Date:
19 March 2008 (online)

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Summary

Early branching of the left coronary artery (LCA) may become an additional operative challenge during coronary transfer in anatomic correction of transposition of the great arteries. An early branch of the LCA running in opposite transfer direction was present in 3 out of 25 patients who underwent anatomic correction. By excising a large cuff of aortic sinus wall around the ostium of the LCA enough length was gained for successful coronary transfer without kinking in 2 patients in whom the first branch was arising at the level of the origin of the circumflex artery. In the third patient with the first branch arising proximal to the origin of the circumflex artery an alternative surgical procedure seemed preferable. In such a coronary anomaly optimal visualization of the coronary branching pattern, possibly including selective coronary angiography, is advisable for better planning of the surgical technique.

Key words

Transposition of the great arteries - Coronary transfer - Early branching of the left coronary artery

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