[The creation of a "new" aorta and the characteristics of coronary artery transplantation in the anatomical correction of transposition of the great vessels of the heart].
Opinion varies among surgeons regarding the preferable method of surgical correction in patients with transposition of the great vessels (TGV) presenting with abnormal origins of the coronary artery (CA) and inadequacies in the diameters of the great vessels. In the work presented, the experience is analyzed gained with the performing of TGV radical correction operations of the arterial switch type in patients presenting with anomalous CA origins and abnormalities in diameters of the great vessels (n = 5). The submitted option permits simplifying CA transfer avoiding the coronary blood flow-related fatal intraoperative complications. Our modification of creation of a "new" aorta combined with particular features of implantation of the coronary arteries enabled us to secure good results in the presence of malformed, TGV, anatomy, which fact allowed the arterial switch operations to be extended to a greater number of cases in disadvantageous anatomical variants of TGV.
Emets
I N
IN
Segal
E V
EV
Mazur
A P
AP
Rudenko
N N
NN
D001011:Aorta / Q000601:surgery*; D013504:Cardiovascular Surgical Procedures / Q000379:methods; D003331:Coronary Vessels / Q000637:transplantation*; D005112:Extracorporeal Circulation; D006324:Heart Arrest, Induced; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000453:epidemiology; D014188:Transposition of Great Vessels / Q000601:surgery*