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Published on: March 27, 2018
Rescue Coronary Artery Bypass Grafting in a Neonate After Arterial Switch Operation: A Temporary or a Lifetime
Chiara Tessari1, Vladimiro L Vida1, Gianluca Torregrossa1
1Paediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Surgery, University of Padua, Padua, Italy.
Abstract:
We describe a case where prompt myocardial rescue revascularization at the time of arterial switch operation (ASO) for D-transposition of the great arteries (D-TGA) was fundamental for overcoming the acute intraoperative myocardial injury and for restoring prompt left ventricular function. Five years following the ASO the patient was asymptomatic but signs of myocardial ischemia were found at SPECT MI, potentially leading to ischemic complications. Adult patients who required coronary revascularization in the neonatal period need to be followed for life to prevent and treat any possible cause of further myocardial ischemia during childhood and adulthood.
