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Eur J Cardiothorac Surg 2002;21:111-113
© 2002 Elsevier Science NL

Case report

Coronary revascularization after arterial switch operation

^a G.Pasquinucci Hospital, CREAS-IFC-CNR, Via Aurelia Sud, Massa 54100, Italy
^b I.R.C.C.S NEUROMED, Via Atinense N.18, 86077 (ISERNIA), Pozzilli, Italy

Received 25 May 2001; received in revised form 30 September 2001; accepted 31 October 2001.

* Corresponding author. Tel.: +39-0685-300-0548; fax: +39-0585-493-616
e-mail: edvinprifti{at}hotmail.com

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.

Key Words: Transposition of the great arteries • Arterial switch operation • Coronary revascularization

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