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Massimo A. Mariani
Tjalling W. Waterbolk
Tjark Ebels
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Ann Thorac Surg 1998;66:2087-2089
© 1998 The Society of Thoracic Surgeons

Case Reports

Transposition of the great arteries and isolated origin of the sinus node artery

Massimo A. Mariani, MD, PhDa, Tjalling W. Waterbolk, MDa, Tjark Ebels, MD, PhDa

a Thorax Center, University Hospital Groningen, Groningen, the Netherlands

Accepted for publication May 19, 1998.

Address reprint requests to Dr Ebels, Thorax Center, University Hospital Groningen, Hanzeplein, 1, Postbus 30.001, 9700RB Groningen, the Netherlands

We report the cases of 2 newborns who underwent at 7 days of age an arterial switch operation for transposition of the great arteries with a rare coronary anomaly: the left and right coronary arteries originated with a single ostium from sinus 1 and the sinus node artery had an isolated origin from sinus 2. The sinus node artery was reimplanted into the new aorta in both patients. Both babies were discharged in sinus rhythm. Preserving the vascularization of the sinus node may avoid the occurrence of postoperative atrial rhythm disturbances.






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