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Coronary arterial anatomy in regard to the arterial switch procedure

Published online by Cambridge University Press:  19 August 2008

Hiromi Kurosawa*
Affiliation:
Department of Pediatric Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo
Yasuharu Imai
Affiliation:
Department of Pediatric Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo
Masaaki Kawada
Affiliation:
Department of Pediatric Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo
*
Dr. Hiromi Kurosawa Dept. of Pediatric Cardiac Surgery, the Heart Institute of Japan, Tokyo Women's Medical College, 8–1 Kawadacho, Shijuku-ku, Tokyo 162, Japan

Summary

Since the success of the arterial switch procedure is dependent on the successful translocation of the coronary arteries, a thorough understanding of the anatomic variations of the coronary arteries is essential. We reviewed the anatomy of the coronary arteries encountered in 140 consecutive cases undergoing the arterial switch procedure for complete transposition at the Heart Institute of Japan. The anatomic variations, described using the Shaher and Puddu classification, varied significantly, requiring alteration in the surgical technique.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1991

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