In situ reconstruction using the half-ring–shaped aortic wall for transposition of the great arteries Takashi Miyamoto, MD, PhD, Shuichi Yoshitake, MD, Akihiro Sasahara, MD, Yuji Naito, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 152, Issue 1, Pages e29-e31 (July 2016) DOI: 10.1016/j.jtcvs.2016.03.021 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions
Figure 1 A, The coronary artery type anatomy in this case is denoted by Leiden classification: 2 right coronary artery, 2 left anterior descending coronary artery, left circumflex coronary artery. B, Unroofing technique of the intramural coronary artery. Suture technique of the half-ring–shaped aortic wall to the right and left facing coronary sinuses. Detachment of the posterior commissure of the aortic valve. C, Resuspension of the neopulmonary valve commissure to the adventitial surface of the relocated half-ring of the aorta. Reanastomosis of the neoaorta. D, Suture of a single pericardial patch to the adventitial surface of the relocated half-ring of the aorta as the neopulmonary arterial posterior wall. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e29-e31DOI: (10.1016/j.jtcvs.2016.03.021) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions
Transposition of the great arteries with a single coronary artery and an intramural coronary artery pattern. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e29-e31DOI: (10.1016/j.jtcvs.2016.03.021) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions