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Ann Thorac Surg 1996;62:586-588
© 1996 The Society of Thoracic Surgeons

Case Report

Arterial Switch Operation: Myocardial Ischemia Reversed by Internal Mammary Artery Graft

Maurizio Merlo, MD, Federico Brunelli, MD, Francesco P. Annecchino, MD, Giancarlo Crupi, MD, Amedeo Terzi, MD, Lidia Ziolkowska, MD

Department of Cardiac Surgery, Ospedali Riuniti di Bergamo, Bergamo, Italy

Accepted for publication March 5, 1996.

We report a case in which an internal mammary artery graft to the left anterior descending coronary artery was successfully used in a newborn boy to reverse life-threatening myocardial ischemia 24 hours after arterial switch operation. One year later, angiography showed patency of both the graft and the transposed coronary ostium with normal left ventricular function. A brief review of the literature shows encouraging results of internal mammary artery grafts in pediatric patients.




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