A case of an intramural coronary artery associated with transposition of the great arteries.
One case of an intramural coronary artery in association with transposition of the great arteries is presented. A 16-month-old infant was admitted for the second-stage operation of complete transposition after a subclavian patch plasty for the aortic isthmus stenosis, division of the persisting arterial duct, and pulmonary artery banding had been performed in the first-stage operation soon after birth. The primarily planned arterial switch operation was, however, not performed because of an unusual coronary artery morphology and pattern--a separated origin of both coronary arteries from the posterior, "facing" sinus of Valsalva and an intramural course of the left anterior descending artery. This very rare case of coronary artery variation is presented from the surgical point of view.
Borowski
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A
Clinic of Cardiac Surgery, University of Cologne, FRG.
Baumgart
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de Vivie
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ER
D000015:Abnormalities, Multiple / Q000601:surgery*; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006801:Humans; D007223:Infant; D014188:Transposition of Great Vessels / Q000601:surgery*