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Ann Thorac Surg 2006;81:742-744
© 2006 The Society of Thoracic Surgeons

Case report

Relief of Compromised Translocated Right Coronary Artery Blood Flow by Clockwise Rotation of the Heart in a Jatene Procedure

Chung-Dann Kan, MD a , c , Jun-Neng Roan, MD a , Jing-Ming Wu, MD b , Yu-Jen Yang, MD, PhD a , *

a Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China
b Division of Cardiovascular Surgery, Department of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China
c Institute of Clinical Medicine, Medical College, National Cheng Kung University, Tainan, Taiwan, Republic of China

Accepted for publication November 18, 2004.

* Address correspondence to Dr Yang, Department of Surgery, National Cheng Kung University Hospital, 138 Sheng-Li Rd, Tainan, 704 Taiwan, Republic of China (Email: kcd56{at}mail.ncku.edu.tw).

A 1.9-kg premature boy with transposition of the great arteries, ventricular septal defect, and patent ductus arteriosus received a Jatene procedure at 16 days of age. His coronary artery pattern was type A. His arteries were harvested and translocated to appropriate holes in the sinus portion of his neoaorta. Partial obstruction due to torsion of the translocated right coronary artery was suspected, because the right ventricle turned pink in color to blue and bradycardia developed when cardiopulmonary bypass support was weaned. This was relieved by clockwise rotation of the heart, and the patient recovered well. Follow-up echocardiography 6 months later revealed good biventricular function.




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M. Ugurlucan, B. Surmen, O. A. Sayin, E. Nargileci, and E. Tireli
Coronary Reimplantation During Jatene Procedure
Ann. Thorac. Surg., January 1, 2007; 83(1): 356 - 357.
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 Ann. Thorac. Surg.Home page
C.-D. Kan and Y.-J. Yang
Reply.
Ann. Thorac. Surg., January 1, 2007; 83(1): 357 - 358.
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