Re-operation for tetralogy of Fallot with single right coronary artery
Mitsugi Nagashima1, Harumitsu Sato, Yosihisa Hohjo
1Department of Cardiovascular Surgery, Ehime Prefectural Central Hospital, 83 Kasuga-cho, Matsuyama-city, Ehime-prefecture 790-0024, Japan. mitsugi@aqua.plala.or.jp
Abstract:
A 7-year-old girl with tetralogy of Fallot in association with a single right coronary artery, was successfully re-operated on for right ventricular outflow tract obstruction. To identify the course of the abnormal coronary arteries during the re-operation, a probe was directly inserted into the coronary arteries after aortotomy. Ventriculotomy was successfully performed under the guide of the probe, without damaging the coronary arteries. Double outflow technique was applied for the relief of the right ventricular outflow tract obstruction.
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