ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Mobilization of The Coronary Artery in a Patient With Tetralogy of Fallot and Abnormal Coronary Artery
Ahmet Özkara1, Ali Kubilay Korkut1, Gürkan Çetin1, Murat Ersanlı2, Kaya Süzer1
1Departments of Cardiovascular Surgery İstanbul University Haseki Cardiology Institute, İstanbul
2Departments of Cardiology, İstanbul University Haseki Cardiology Institute, İstanbul
Surgical total correction of coronary artery anomalies in Fallot’s tetralogy is associated with an increased risk for mortality and morbidity. Several techniques have been described for the reconstruction of the right ventricular outflow tract. We performed transannular patchplasty below the mobilized left anterior descending (LAD) coronary artery in a 31-yearold male patient in whom the LAD and the right coronary artery arose as a single ostium from the sinus 2. The LAD artery was mobilized together with the surrounding epicardium. The right ventricular outflow tract was reconstructed with the use of a pericardial patch beneath the LAD. The patient was discharged without any problem. This corrective technique is appropriate in adult patients with coronaries allowing dissection and mobilization without any stretch.
Keywords : Coronary vessel anomalies/surgery; pulmonary artery/ surgery; tetralogy of Fallot/surgery
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