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Images in Cardiothoracic Surgery

Unusual "Single Coronary" Anatomy in Transposition of the Great Arteries

^a Division of Cardiac Surgery, University of Verona, Verona, Italy
^b Division of Anesthesiology, University of Verona, Verona, Italy

^_* Address correspondence to Dr Luciani, Division of Cardiac Surgery, University of Verona, OCM Piazzale Stefani 1, Verona, 37126, Italy (Email: giovanni.luciani@univr.it).

The first 20% of the full text of this article appears below.

A 7-day-old full-term neonate with prenatal diagnosis of {S, D, D} transposition with intact ventricular septum underwent balloon atrial septostomy at birth. Suspicion of single coronary ostium from the right hand sinus (two RLCx [two right-left anterior descending-circumflex arteries]) emerged as seen on a transthoracic two-dimensional echocardiogram and was confirmed during an intraoperative transesophageal echocardiography. Unexpectedly, a previously unreported, far more complex, coronary anatomy was found during the operation (two Cx [circumflex]; aorta LR [left anterior descending-right coronaries]). . . . [Full Text of this Article]