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The Journal of Thoracic and Cardiovascular Surgery, Vol 93, 468-470, Copyright © 1987 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
D di Carlo, D De Nardo, L Ballerini and C Marcelletti
Inadvertent transection of an anomalous left coronary artery, which
originated from the right coronary artery, occurred during repair of
tetralogy of Fallot in a 2-year-old child. An aorta-coronary bypass graft
was constructed with a size 4 polytetrafluoroethylene conduit. Early
recatheterization showed patency of the polytetrafluoroethylene graft, but
a myocardial scintiscan done 3 months after operation demonstrated reduced
perfusion of the areas supplied by the left coronary system. Preoperative
aortography or selective coronary angiography is mandatory to avoid this
potentially lethal complication. Future surgical options are discussed.
ARTICLES
Injury to the left coronary artery during repair of tetralogy of Fallot: successful aorta-coronary polytetrafluoroethylene graft
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A. K. Bhutani, M. M. Koppala, K. A. Abraham, K. R. Balakrishnan, and R. N. Desai Inadvertent transection of anomalously arising left anterior descending artery during tetralogy of Fallot repair: Bypass grafting with left internal mammary artery J. Thorac. Cardiovasc. Surg., September 1, 1994; 108(3): 589 - 590. [Full Text] |
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