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Ann Thorac Surg 1976;21:451-453
© 1976 The Society of Thoracic Surgeons

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Articles

A Method of Outflow Tract Reconstruction in Tetralogy of Fallot with Anomalous Anterior Descending Coronary Artery

From the Division of Cardiopulmonary Surgery, University of Oregon Health Sciences Center, 3181 SW Sam Jackson Park Rd, Portland, OR.

Accepted for publication September 9, 1975.

^* Address reprint requests to Dr. Bonchek, Department of Thoracic and Cardiovascular Surgery, Medical College of Wisconsin, 8700 W Wisconsin Ave, Milwaukee, WI 53226.

An anomalous anterior descending coronary artery that arises from the right coronary and crosses the right ventricular outflow tract can compromise corrective operations for tetralogy of Fallot. The only safe method of outflow tract reconstruction reported until now is the use of a tubular graft from the right ventricle to the pulmonary artery. We report successful reconstruction of the outflow tract by placing a standard fabric patch under the mobilized anomalous coronary artery. This technique should avoid the late complications of tubular conduits by preserving the natural posterior wall of the outflow tract for growth.

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