Pediatric coronary artery bypass after arterial switch operation: noninvasive evaluation with ECG-gated 64-slice CT in routine practice.
Coronary artery bypass is increasingly used as a revascularization procedure to treat pediatric coronary artery problems. We report here the clinical usefulness of high resolution computed tomographic scan in the evaluation of the internal mammary artery bypass graft in a 12-year-old child who had undergone arterial switch operation for transposition of the great arteries. Our case suggests the following practice already applied in our institution: 64-slice computed tomography can be used as a valuable noninvasive diagnostic and screening tool for detecting coronary and artery bypass graft complications in the follow-up of the arterial switch operation before having recourse to conventional angiography.
Jemmali
Monia
M
University Rene Descarte-Paris 5, Hôpital Necker-Enfants Malades, Department of Pediatric Cardiology, Paris, France.
Marini
Davide
D
Calcagni
Giulio
G
Brunelle
Francis
F
Sidi
Daniel
D
Bonnet
Damien
D
Ou
Phalla
P
D002648:Child; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014188:Transposition of Great Vessels / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology