Myocardial revascularization in infants and children by means of coronary artery proximal patch arterioplasty or bypass grafting: A single-institution experience Eric Bergoënd, MD, Olivier Raisky, MD, Alexandra Degandt, MD, Daniel Tamisier, MD, Daniel Sidi, MD, Pascal Vouhé, MD The Journal of Thoracic and Cardiovascular Surgery Volume 136, Issue 2, Pages 298-306 (August 2008) DOI: 10.1016/j.jtcvs.2008.02.059 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions
Figure 1 Left main coronary artery proximal patch arterioplasty. A, The main pulmonary trunk is transected to allow adequate exposure of the aortic root and left main stem. B, The aorta is opened anteriorly, and the incision is extended across the coronary obstruction up to a normal arterial wall. An onlay patch is used to enlarge not only the main coronary stem but also the adjacent aortic incision to give the new coronary ostium a funnel shape. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 298-306DOI: (10.1016/j.jtcvs.2008.02.059) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions