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Ann Thorac Surg 1994;57:458-460
© 1994 The Society of Thoracic Surgeons

Articles

Aortic intramural course of the left coronary artery in dextro-transposition of the great arteries

Eugene K.W. Sim, FRCS, Jacques A.M. van Son, MD, PhD, Paul R. Julsrud, MD*, Francisco J. Puga, MD

Division of Thoracic and Cardiovascular Surgery and Division of Radiology, Mayo Clinic, Rochester, Minnesota, USA

Accepted for publication June 14, 1993.

* Address reprint requests to Dr Julsrud, Mayo Clinic, Rochester, MN 55905.

Three patients with dextro-transposition of the great arteries and an aortic intramural left coronary artery are described. A review of our patients with dextrotransposition of the great arteries and those reported in the literature suggests that an aortic intramural course of the left coronary artery or left anterior descending coronary artery must be assumed when the artery arises from the right (posterior) sinus of Valsalva, distal to the right sinotubulur junction, or at the commissure between the right and left (anterior) sinuses and courses between the great arteries.




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