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Ann Thorac Surg 2007;84:1398-1399
© 2007 The Society of Thoracic Surgeons

Case Reports

Pediatric Coronary Artery Bypass After Arterial Switch Operation: Noninvasive Evaluation With ECG-Gated 64-Slice CT in Routine Practice

Monia Jemmali, MDa, Davide Marini, MDa, Giulio Calcagni, MDa, Francis Brunelle, MDb, Daniel Sidi, MD, PhDa, Damien Bonnet, MD, PhDa, Phalla Ou, MD, PhDb,*

a University Rene Descarte-Paris 5, Hôpital Necker-Enfants Malades, Department of Pediatric Cardiology, Paris, France
b University Rene Descartes-Paris 5, Hôpital Necker-Enfants Malades, Department of Pediatric Radiology, Paris, France

Accepted for publication May 29, 2007.

* Address correspondence to Dr Ou, Department of Pediatric Radiology, Hôpital Necker-Enfants Malades, 149, rue de Sèvres 75743 Paris, Cedex 15, France (Email: phalla.ou{at}nck.ap-hop-paris.fr).

Coronary artery bypass is increasingly used as a revascularization procedure to treat pediatric coronary artery problems. We report here the clinical usefulness of high resolution computed tomographic scan in the evaluation of the internal mammary artery bypass graft in a 12-year-old child who had undergone arterial switch operation for transposition of the great arteries. Our case suggests the following practice already applied in our institution: 64-slice computed tomography can be used as a valuable noninvasive diagnostic and screening tool for detecting coronary and artery bypass graft complications in the follow-up of the arterial switch operation before having recourse to conventional angiography.






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