title: Rescue Coronary Artery Bypass Grafting in a Neonate After Arterial Switch Operation: A Temporary or a Lifetime Solution?
abstract: We describe a case where prompt myocardial rescue revascularization at the time of arterial switch operation (ASO) for D-transposition of the great arteries (D-TGA) was fundamental for overcoming the acute intraoperative myocardial injury and for restoring prompt left ventricular function. Five years following the ASO the patient was asymptomatic but signs of myocardial ischemia were found at SPECT MI, potentially leading to ischemic complications. Adult patients who required coronary revascularization in the neonatal period need to be followed for life to prevent and treat any possible cause of further myocardial ischemia during childhood and adulthood.
authors.affiliation: Paediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Surgery, University of Padua, Padua, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Tessari
authors.affiliation: Paediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Surgery, University of Padua, Padua, Italy.
authors.forename: Vladimiro L
authors.initials: VL
authors.lastname: Vida
authors.affiliation: Paediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Surgery, University of Padua, Padua, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Torregrossa
authors.affiliation: Paediatric Cardiology Unit, Department of Paediatrics, University of Padua, Padua, Italy.
authors.forename: Biagio
authors.initials: B
authors.lastname: Castaldi
authors.affiliation: Paediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Surgery, University of Padua, Padua, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Stellin
mesh_terms: D001026:Coronary Artery Bypass / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000517:prevention & control; D009204:Myocardial Revascularization / Q000379:methods*; D011183:Postoperative Complications; D015899:Tomography, Emission-Computed, Single-Photon; D014188:Transposition of Great Vessels / Q000601:surgery*