HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Meyer, J. Articles by Cooley, D. A. Search for Related Content PubMed PubMed Citation Articles by Meyer, J. Articles by Cooley, D. A.

The Journal of Thoracic and Cardiovascular Surgery, Vol 69, 373-376, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Coronary artery anomalies in patients with tetralogy of Fallot

J Meyer, L Chiariello, GL Hallman and DA Cooley

A left anterior descending coronary artery arising from the right coronary artery can be easily injured during performance of a right ventriculotomy for correction of tetralogy of Fallot. This occurred in 2 of the 23 patients in this series, and both patients died from myocardial failure in the early period after operation. Of 19 patients who presented a combination of tetralogy of Fallot and unusual coronary artery distribution, injury to the abnormal coronary artery was avoided by a transverse right ventriculotomy either alone or combined with an upper vertical incision in 17 patients. In 2 patients a Dacron tube graft was inserted between the right ventricular outflow tract and the pulmonary artery. In 2 patients a right ventriculotomy was avoided by closing the ventricular septal defect through a transaortic approach. All 21 patients survived. Before a vertical or longitudinal incision in the right ventricular outflow tract is performed, the coronary artery distribution should always be checked and confirmation made of the normal origin of the left anterior descending branch from the left coronary artery to the left of the pulmonary artery.

This article has been cited by other articles:

				C. I. Tchervenkov, M. P. Pelletier, D. Shum-Tim, M. J. Beland, and C. Rohlicek Primary repair minimizing the use of conduits in neonates and infants with tetralogy or double-outlet right ventricle and anomalous coronary arteries J. Thorac. Cardiovasc. Surg., February 1, 2000; 119(2): 314 - 323. [Abstract] [Full Text] [PDF]

				J. A. M. van Son REPAIR OF TETRALOGY OF FALLOT WITH ANOMALOUS ORIGIN OF LEFT ANTERIOR DESCENDING CORONARY ARTERY J. Thorac. Cardiovasc. Surg., August 1, 1995; 110(2): 561 - 562. [Full Text]

				A. K. Bhutani, M. M. Koppala, K. A. Abraham, K. R. Balakrishnan, and R. N. Desai Inadvertent transection of anomalously arising left anterior descending artery during tetralogy of Fallot repair: Bypass grafting with left internal mammary artery J. Thorac. Cardiovasc. Surg., September 1, 1994; 108(3): 589 - 590. [Full Text]