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Successful coronary transfer for transposition of the great arteries with bilateral intramural coronary arteries from a single aortic sinus

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Abstract

We experienced an arterial switch operation in a patient with d-transposition of the great arteries associated with bilateral intramural coronary arteries from a single coronary ostium. In performing the coronary transfer, intramural course of bilateral coronary arteries was unroofed and coronary ostium was separated into two coronary buttons. The two coronary buttons were translocated to the neo-aorta using modified trap-door technique. The angiogram performed 6 years after the operation revealed well-developed coronary arteries without stenosis, and the patient is doing well 8 years after the operation.

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Acknowledgements

We thank Dr. Suetsugu F. for his self-explanatory and elaborate illustrations.

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Authors and Affiliations

  1. Department of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan

    Daisuke Machida, Yukihisa Isomatsu, Masami Goda, Shinichi Suzuki & Munetaka Masuda

  2. Department of Cardiovascular Surgery, Kanagawa Children’s Medical Center, Yokohama, Japan

    Toshihide Asou

Authors
  1. Daisuke Machida
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  2. Yukihisa Isomatsu
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  3. Masami Goda
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  4. Shinichi Suzuki
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  5. Toshihide Asou
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  6. Munetaka Masuda
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Corresponding author

Correspondence to Munetaka Masuda.

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Conflict of interest

Munetaka Masuda received a research grant from Edwards Co Ltd. and Senko Co. Ltd. The other authors have no conflict of interest.

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Machida, D., Isomatsu, Y., Goda, M. et al. Successful coronary transfer for transposition of the great arteries with bilateral intramural coronary arteries from a single aortic sinus. Gen Thorac Cardiovasc Surg 66, 476–479 (2018). https://doi.org/10.1007/s11748-017-0859-9

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  • DOI: https://doi.org/10.1007/s11748-017-0859-9

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