PMID: 9169365Jan 1, 1997Paper

Clinical implications of short-axis aortopulmonary rotation on juxtacommissural origin of the coronary artery in transposition of the great arteries and surgical strategy

Journal of Cardiac Surgery
I S ChiuC R Hung

Abstract

The relationship of short-axis aortopulmonary rotation (APR) with juxtacommissural origin of the coronary arteries (JOCA) in transposition of the great arteries (TGA) has never been elucidated. The surgical outcome of arterial switch operation (ASO) is influenced by the presence of JOCA. Fifteen patients with TGA who presented to our institution between 1988 and 1995, and 23 cases from the literature, all with documented JOCA and APR, were analyzed. Each coronary arterial type was assigned to one of five patterns, according to similarities of epicardial configuration. All our patients underwent an ASO with various techniques to deal with JOCA. JOCA near the facing commissure (FC, 35 cases), were more frequent with anterior TGA (29/31, 94%) except types 5cj and 9j that were seen with posterior and right lateral TGA (4/4, 100%); whereas JOCA near the right-hand nonfacing commissure (RNC, 3 cases) were related with posterior TGA. Eta-square analysis showed significant correlation between various JOCA and short axis APR. Thirteen of our cases had JOCA near FC, two near RNC. Five of the former in whom the coronary artery was excised as a single button had a superior trapdoor; using a two-button technique three of the former had a la...Continue Reading

References

Feb 1, 1978·British Heart Journal·J AubertA Delarue
Apr 1, 1991·The Thoracic and Cardiovascular Surgeon·A BorowskiE R de Vivie
May 1, 1990·Journal of the American College of Cardiology·R M OberhofferR H Anderson
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Apr 1, 1994·The Annals of Thoracic Surgery·E K SimF J Puga
Feb 1, 1994·The Annals of Thoracic Surgery·T AsouR B Mee

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Citations

May 4, 2005·The Journal of Thoracic and Cardiovascular Surgery·Nicolas BorensteinEmmanuel Le Bret
Jan 22, 2013·Cardiology in the Young·Robert H AndersonAnthony J Hlavacek
Apr 6, 2000·The Annals of Thoracic Surgery·K K NairM S Hickey
Oct 6, 2012·The Annals of Thoracic Surgery·Ing-Sh Chiu, Robert H Anderson
Apr 1, 2011·World Journal for Pediatric & Congenital Heart Surgery·Ing-Sh ChiuHung-Chi Lue

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