Tubular Pouch Technique Using Aortic Tissues for Single Coronary Artery Transfer
Yosuke Arai1, Hidetsugu Asai1, Noriyoshi Ebuoka1
1Department of Cardiovascular and Thoracic Surgery, Hokkaido Medical Center For Child Health and Rehabilitation, Sapporo, Japan.
The Annals of Thoracic Surgery
|April 4, 2022
Summary
A rare single coronary artery in a neonate with dextro-transposition of the great arteries was successfully treated with a novel coronary transfer technique. This innovative approach ensured a smooth coronary route post-surgery, offering hope for similar complex congenital heart cases.
Area of Science:
- Cardiology
- Congenital Heart Surgery
- Medical Imaging
Background:
- Dextro-transposition of the great arteries (dTGA) is a critical congenital heart defect.
- A single coronary artery originating from a single ostium is a rare anomaly, posing surgical challenges.
- Accurate anatomical assessment is crucial for planning surgical interventions in neonates.
Observation:
- A 6-day-old male neonate presented with dTGA and an intact ventricular septum.
- Computed tomography (CT) confirmed a rare single coronary artery with a single ostium arising from sinus 2 (2 R L Cx).
Findings:
- A novel coronary transfer technique utilizing a tubular pouch fashioned from native aortic tissue was successfully employed.
- Postoperative CT demonstrated a well-defined coronary artery pathway without evidence of stenosis.
Implications:
- This technique offers a viable solution for managing rare single coronary artery anomalies in neonates with complex heart conditions.
- Successful surgical correction can improve long-term outcomes for infants with dTGA and coronary anomalies.
- The described method advances surgical strategies in pediatric cardiac interventions.
