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Occult coronary ostial obstruction late after arterial switch operation
Ashish P Saini1, Lewis T Wolfe, Karmaine A Millington
1Department of Pediatrics, Penn State College of Medicine, Hershey, Pennsylvania 17033, USA.
Abstract:
Occult coronary artery obstruction can be a late source of morbidity and mortality following the arterial switch operation for transposition of the great arteries. We describe a case of undiagnosed left coronary ostial obstruction in a teenager which may have contributed to perioperative ventricular dysfunction and subsequent mortality following a reoperation many years after arterial switch.
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