title: Coronary revascularization after arterial switch operation.
abstract: We report two cases presenting bilateral coronary artery obstruction after arterial switch operation. The first patient underwent bilateral internal thoracic artery grafting to the left and right coronary arteries. The other patient, presenting a single coronary ostium, underwent surgical coronary ostial angioplasty in concomitance to proximal arterioplasty of both coronary arteries employing a single "pantaloon" shape autologous pericardial patch. Both patients survived and, at 1 year and 9 months after the coronary revascularization procedures, the coronary angiography demonstrated a good patency of the internal thoracic grafts and excellent ostial plasty results, respectively. A complete literature review of patients undergoing different coronary revascularization procedures after arterial switch operation is reported.
authors.affiliation: G. Pasquinucci Hospital, CREAS-IFC-CNR, Via Aurelia Sud, Massa 54100, Italy. edvinprifti@hotmail.com
authors.forename: Edvin
authors.initials: E
authors.lastname: Prifti
authors.forename: Massimo
authors.initials: M
authors.lastname: Bonacchi
authors.forename: Stefano Vincenzo
authors.initials: SV
authors.lastname: Luisi
authors.forename: Vittorio
authors.initials: V
authors.lastname: Vanini
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003327:Coronary Disease / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D009204:Myocardial Revascularization; D014188:Transposition of Great Vessels / Q000601:surgery*; D014654:Vascular Patency