Arterial Switch Operation in Single Coronary Ostium With Intramural Course: Subclavian Artery Patch Angioplasty  Fabio Cuttone, MD, François Lacour-Gayet,

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Arterial Switch Operation in Single Coronary Ostium With Intramural Course: Subclavian Artery Patch Angioplasty  Fabio Cuttone, MD, François Lacour-Gayet, MD, Imran Saeed, MD, Ulrich Rosendahl, MD, Jonathan Nervis, MD, Zdenek Slavik, MD, Olivier Ghez, MD  The Annals of Thoracic Surgery  Volume 100, Issue 3, Pages 1084-1086 (September 2015) DOI: 10.1016/j.athoracsur.2014.11.071 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The main sequences of coronary management. (A) The common button harvesting. (B) The opening of the left coronary ostium and the creation of two single buttons. (C) Subclavian patch enlargement of the left anterior descending ostium. (D) Intraoperative view of the common button, with single ostium and intra mural course. The Annals of Thoracic Surgery 2015 100, 1084-1086DOI: (10.1016/j.athoracsur.2014.11.071) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The angiogram shows the result of arterial switch operation at 5 months. (A) The neoaorta reconstruction and the right coronary ostium (inset). (B) The left anterior descending ostium reconstruction with subclavian patch and the pulmonary tree (inset). The Annals of Thoracic Surgery 2015 100, 1084-1086DOI: (10.1016/j.athoracsur.2014.11.071) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions