Mobilization of The Coronary Artery in a Patient With Tetralogy of Fallot and Abnormal Coronary Artery

Ahmet Özkara; Ali Kubilay Korkut; Gürkan Çetin; Murat Ersanlı; Kaya Süzer

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 Fallots 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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