title: Occult coronary ostial obstruction late after arterial switch operation.
abstract: Occult coronary artery obstruction can be a late source of morbidity and mortality following the arterial switch operation for transposition of the great arteries. We describe a case of undiagnosed left coronary ostial obstruction in a teenager which may have contributed to perioperative ventricular dysfunction and subsequent mortality following a reoperation many years after arterial switch.
authors: Department of Pediatrics, Penn State College of Medicine, Hershey, Pennsylvania 17033, USA.
authors: Ashish P
authors: AP
authors: Saini
authors: Lewis T
authors: LT
authors: Wolfe
authors: Karmaine A
authors: KA
authors: Millington
authors: John L
authors: JL
authors: Myers
authors: Joseph B
authors: JB
authors: Clark
mesh_terms: D000293:Adolescent; D000475:Alkenes; D021921:Aortic Stenosis, Supravalvular / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006328:Cardiac Catheterization; D023921:Coronary Stenosis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology; D004452:Echocardiography; D017809:Fatal Outcome; D005547:Foreign Bodies / Q000473:pathology; D006323:Heart Arrest / Q000209:etiology / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D013537:Sutures; D014188:Transposition of Great Vessels / Q000473:pathology / Q000601:surgery*
chemical_list: D000475:Alkenes; C013658:propylene