Arterial Switch Operation for Transposition of the Great Arteries With Coronary Arteries From a Single Aortic Sinus Si Chan Sung, MD, Yun Hee Chang,

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Arterial Switch Operation for Transposition of the Great Arteries With Coronary Arteries From a Single Aortic Sinus Si Chan Sung, MD, Yun Hee Chang, MD, Hyoung Doo Lee, MD, Siho Kim, MD, Jong Soo Woo, MD, Young Seok Lee, MD The Annals of Thoracic Surgery Volume 80, Issue 2, Pages 636-641 (August 2005) DOI: 10.1016/j.athoracsur.2005.02.042 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The relations of great arteries and the patterns of coronary artery distribution in single sinus coronary artery. (Cx = left circumflex artery; L = left anterior descending artery; R = right coronary artery.) The Annals of Thoracic Surgery 2005 80, 636-641DOI: (10.1016/j.athoracsur.2005.02.042) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Coronary transfer techniques for single sinus coronary artery: (A) trap-door technique; (B) aortocoronary flap technique; (C) double-button technique. The Annals of Thoracic Surgery 2005 80, 636-641DOI: (10.1016/j.athoracsur.2005.02.042) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Free grafting of the left subclavian artery to the left coronary artery. The Annals of Thoracic Surgery 2005 80, 636-641DOI: (10.1016/j.athoracsur.2005.02.042) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Postoperative outcomes. (LCA = left coronary artery; LSCA = left subclavian artery; SSCA = single sinus coronary artery.) The Annals of Thoracic Surgery 2005 80, 636-641DOI: (10.1016/j.athoracsur.2005.02.042) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Postoperative coronary angiogram of four patients showed patent both coronary artery systems: (A) aortocoronary flap technique; (B) and (C) left coronary bypass using left subclavian free graft; (D) double-button technique. The Annals of Thoracic Surgery 2005 80, 636-641DOI: (10.1016/j.athoracsur.2005.02.042) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions