HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sim, E. K. Articles by Puga, F. J. Search for Related Content PubMed PubMed Citation Articles by Sim, E. K. Articles by Puga, F. J.

The Annals of Thoracic Surgery, Vol 57, 890-894, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Coronary artery anatomy in complete transposition of the great arteries

EK Sim, JA van Son, WD Edwards, PR Julsrud and FJ Puga
Division of Thoracic and Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55908.

Knowledge of the variations in coronary artery pattern is important in the arterial switch operation for complete transposition of the great arteries (TGA). As autopsy specimens provide the most definitive means of identifying the coronary anatomy, 255 hearts with complete TGA were reviewed by a single pathologist. The age of the patients ranged from 1 day to 34 years (mean, 2.9 years). The origin of the coronary arteries was defined as seen by an observer looking from the pulmonary artery toward the aorta. The usual pattern with the right coronary artery originating from the right hand sinus and the left coronary artery from the left hand sinus (184 cases) and the circumflex coronary artery arising from the right coronary artery (46 cases) accounted for 90% of the cases. Eleven other patterns were identified. The usual coronary artery pattern was more prevalent in TGA with the aorta in a right anterior or anterior position (74.8%) than in TGA with a side-by-side relationship of the great arteries (38.9%). In only 2 cases (0.8%) was an aortic intramural course of the left coronary artery identified. The latter 2 cases confirm our belief that an aortic intramural course of the left coronary artery or the left anterior descending coronary artery must be assumed when the vessel has an aberrant origin from the right sinus or when it is in intimate relationship with the commissure between the right and left sinuses and courses between the great arteries. In the vast majority of specimens a favorable coronary artery pattern with regard to feasibility of the arterial switch operation was encountered.

This article has been cited by other articles:

				S. C. Sung, Y. H. Chang, H. D. Lee, S. Kim, J. S. Woo, and Y. S. Lee Arterial Switch Operation for Transposition of the Great Arteries With Coronary Arteries From a Single Aortic Sinus Ann. Thorac. Surg., August 1, 2005; 80(2): 636 - 641. [Abstract] [Full Text] [PDF]

				P. Massoudy, A. Baltalarli, M. R. de Leval, A. Cook, U. Neudorf, G. Derrick, K. P. McCarthy, and R. H. Anderson Anatomic Variability in Coronary Arterial Distribution With Regard to the Arterial Switch Procedure Circulation, October 8, 2002; 106(15): 1980 - 1984. [Abstract] [Full Text] [PDF]

				C. Rickers, K. Sasse, R. Buchert, H. Stern, J.o. van den Hoff, M. Lubeck, and J. Weil Myocardial viability assessed by positron emission tomography in infants and children after the arterial switch operation and suspected infarction J. Am. Coll. Cardiol., November 1, 2000; 36(5): 1676 - 1683. [Abstract] [Full Text] [PDF]

				S. H. Daebritz, G. Nollert, J. S. Sachweh, W. Engelhardt, G. von Bernuth, and B. J. Messmer Anatomical risk factors for mortality and cardiac morbidity after arterial switch operation Ann. Thorac. Surg., June 1, 2000; 69(6): 1880 - 1886. [Abstract] [Full Text] [PDF]

				J Li, R M R Tulloh, A Cook, M Schneider, S Y Ho, and R H Anderson Coronary arterial origins in transposition of the great arteries: factors that affect outcome. A morphological and clinical study Heart, March 1, 2000; 83(3): 320 - 325. [Abstract] [Full Text]

				J. L. Myers Transposition of the Great Arteries Ann. Thorac. Surg., March 1, 1997; 63(3): 895 - 898. [Full Text]

				R. McKay, R. H. Anderson, and A. Smith THE CORONARY ARTERIES IN HEARTS WITH DISCORDANT ATRIOVENTRICULAR CONNECTIONS J. Thorac. Cardiovasc. Surg., May 1, 1996; 111(5): 988 - 997. [Abstract] [Full Text]

				H. Uemura, T. Yagihara, Y. Kawashima, K. Nishigaki, T. Kamiya, S. Y. Ho, and R. H. Anderson Coronary Arterial Anatomy in Double-Outlet Right Ventricle With Subpulmonary VSD Ann. Thorac. Surg., March 1, 1995; 59(3): 591 - 597. [Abstract] [Full Text]