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Ann Thorac Surg 2000;69:949-951
© 2000 The Society of Thoracic Surgeons

Case Reports

Arterial switch operation: successful bilateral internal thoracic artery grafting

Kiron Kumar Somasekharan Nair, MDa, Kak Chen Chan, FRCPa, Mark St. John Hickey, FRCSIa

a Departments of Cardiac Surgery and Cardiology, Glenfield Hospital, Leicester, United Kingdom

Address reprint requests to Dr Hickey, Department of Cardiothoracic Surgery, Glenfield Hospital, Groby Rd, Leicester LE3 9QP, United Kingdom

Internal thoracic artery grafting in arterial switch operations for transposition of great arteries has been reported for salvage of myocardial ischemia after initial coronary transfer. We report a situation where we opted for primary coronary bypass grafting to avoid an obviously difficult coronary transfer, with successful outcome.




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