Intraoperative ultrasonographic identification of coronary artery compression after an arterial switch procedure

Quaegebeur, Jan M.; Daele, M. Van; Stümper, Oliver; Sutherland, George R.

doi:10.1016/s0022-5223(19)33932-7

Cited by 8 publications

(3 citation statements)

References 5 publications

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“…From this viewpoint, sinus 1 is defined as the sinus to the right of the observer and sinus 2 is defined as the sinus to the left of the observer. 38 The origin and proximal course of the coronary arteries is variable; however, in the majority of patients, the coronary arteries arise from the aortic sinuses facing the pulmonary root. The 8 major anatomical patterns of the coronary arteries and their incidence in TGA are illustrated in Figure 7.…”

Section: Outflow Tracts and Semilunar Valvementioning

confidence: 99%

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Preoperative Physiology, Imaging, and Management of Transposition of the Great Arteries

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Arya

2015

Semin Cardiothorac Vasc Anesth

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Transposition of the great arteries (TGA) refers to hearts with concordant atrioventricular connections but discordant ventriculoarterial connections. In this lesion, the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle. As such, the pulmonary and aortic circulations run in parallel as opposed to in series, and this lesion is not compatible with survival without adequate mixing of these circulations. The management and outcomes of TGA parallels the field of pediatric cardiac surgery itself. Uniformly fatal in childhood, palliative procedures from the 1950s to 1970s offered survival, albeit at a high early and late cost. In the 1970s, the arterial switch operation (ASO) provided an anatomical "cure," with survival to adulthood in the current era of around 90%. Detailed perioperative imaging, attention to associated lesions, and comprehension of the physiology are critical to medical and surgical management.

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Section: Outflow Tracts and Semilunar Valvementioning

confidence: 99%

“…From this viewpoint, sinus 1 is defined as the sinus to the right of the observer and sinus 2 is defined as the sinus to the left of the observer. 38…”

Section: Imagingmentioning

confidence: 99%

Preoperative Physiology, Imaging, and Management of Transposition of the Great Arteries

Files

Arya

2015

Semin Cardiothorac Vasc Anesth

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“…There have been a few case reports on intraoperative revision during ASO. [8][9][10] Mussa et al 4 described that out of 449 patients who underwent ASO (excluding patients with a complex anatomy), 10 patients required intraoperative revision to refashion coronary buttons, although the revision details were not documented. Thus, limited published data exist on intraoperative revision during ASO.…”

Section: Introductionmentioning

confidence: 99%