An arterial switch operation in a case with transposition of the great arteries where all coronary arteries originated from the sinus 2

Ahmet Şaşmazel,

doi:10.5606/tgkdc.dergisi.2011.103

Ahmet Şaşmazel¹, Ayşe Yıldırım², Ayşe Baysal³, Hasan Erdem¹, Hasan Sunar¹

¹Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul
²Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Çocuk Kardiyolojisi Kliniği, İstanbul
³Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Anestezi ve Reanimasyon Kliniği, İstanbul

DOI : 10.5606/tgkdc.dergisi.2011.103

The implantation of coronary arteries during an arterial switch operation plays a critical role in patients diagnosed with transposition of the great arteries. Especially, the coronary artery patterns involving the origination of all coronary arteries from a single sinus are among the conditions carrying the highest surgical risk and may cause the torsion or kinking of the proximal coronary arteries during coronary artery implantation. Herein, we presented a seven-day-old male neonate undergoing an arterial switch operation for transposition of the great arteries in which all the coronary arteries originated from the sinus 2. Different techniques for the translocation of the coronary arteries were also discussed.

Keywords : Coronary anamolies; transposition of the great arteries; switch operation

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