Aortic sinus pouch technique for dextro-transposition of the great arteries with a single or intramural coronary artery

The clinical results of the arterial switch operation (ASO) for dextro-transposition of the great arteries (d-TGA) are less than ideal when the anomaly is associated with an unusual coronary artery pattern, such as a single coronary artery or intramural coronary artery course. We developed a novel technique to deal with d-TGA with a single coronary pattern, including variations in which all the coronary arteries arise from a single aortic sinus. In this procedure, the coronary cuff is trimmed from the aorta together with the adjacent non-coronary sinus wall and is formed into a tubular pouch, which is then anastomosed with the pulmonary trunk in a side-to-side fashion.
Source: Operative Techniques in Cardiac and Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Congenital Source Type: research