title: Arterial switch operations for single coronary artery ostium or intramural coronary artery.
abstract: BACKGROUND
  Successful transfer of the coronary arteries is the most critical step during arterial switch operations for patients with transposition of the great arteries with a single coronary artery ostium and/or intramural coronary arteries. Various techniques have been reported and the present study was an evaluation of them in 10 neonatal patients.
  
  
  RESULTS
  Coronary artery transfers are achieved by implantation of coronary buttons to the previously anastomosed neo-aorta using pericardial or pulmonary artery hood techniques. One patient died perioperatively because of myocardial malperfusion. Following prolonged mechanical ventilation, another died from sepsis on the 28th postoperative day. Coronary artery perfusion abnormality was not observed in the remaining patients.
  
  
  CONCLUSIONS
  Transfer of the coronary button by the pericardial or pulmonary artery hood augmentation technique to the previously anastomosed neo-aorta is a practical, easy and convenient combination of methods for the treatment of these patients.
authors.affiliation: Department of Cardiovascular Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. gurkan@istanbul.edu.tr
authors.forename: Gurkan
authors.initials: G
authors.lastname: Cetin
authors.forename: Emin
authors.initials: E
authors.lastname: Tireli
authors.forename: Ahmet
authors.initials: A
authors.lastname: Ozkara
authors.forename: Ozge
authors.initials: O
authors.lastname: Koner
authors.forename: Ilksen
authors.initials: I
authors.lastname: Soyler
authors.forename: Levent
authors.initials: L
authors.lastname: Saltik
authors.forename: Kadir
authors.initials: K
authors.lastname: Babaoglu
mesh_terms: D003330:Coronary Vessel Anomalies / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D004452:Echocardiography; D006801:Humans; D007231:Infant, Newborn; D011184:Postoperative Period; D014188:Transposition of Great Vessels / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods