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Arterial Switch Operation With a Single Coronary Artery: The Autograft Concept

^a Department of Cardiovascular and Pediatric Cardiac Surgery, Nancy Hospital, Henri Poincaré University, Nancy, France
^b Department of Pediatric Cardiology, Nancy Hospital, Henri Poincaré University, Nancy, France

Accepted for publication September 11, 2008.

^_* Address correspondence to Dr Macé, Département de Chirurgie Cardiovasculaire et Cardiaque Pédiatrique, CHU de Nancy, Hôpitaux de Brabois, Rue du morvan, 54511 Vandoeuvre Cedex, France (Email: l.mace{at}chu-nancy.fr).

A single coronary artery, especially if associated with anterior looping, remains a risk factor when performing an arterial switch operation for transposition of the great arteries. In such a situation, to avoid the risk of overstretching, we used a modification of the aortic autograft concept to transfer the single coronary artery, resulting in a tension-free relocation.