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 Citation Map 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 Kurosawa, H. Articles by Takao, A. Search for Related Content PubMed PubMed Citation Articles by Kurosawa, H. Articles by Takao, A.

The Journal of Thoracic and Cardiovascular Surgery, Vol 91, 572-583, Copyright © 1986 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Infundibular septum and coronary anatomy in Jatene operation

H Kurosawa, Y Imai, Y Takanashi, S Hoshino, K Sawatari, M Kawada and A Takao

Displacement of the infundibular septum and coronary anatomy was studied in 40 patients with variable transposition of the great arteries who underwent the Jatene operation between August, 1982, and May, The perioperative mortality was 12.5%. Fourteen of the 16 patients (87.5%) with intact ventricular septum (Group I), eight of the 12 patients (67%) with aligned infundibular septum and perimembranous trabecular defect (Group II-A), and four of the 12 patients (33%) with anteriorly displaced infundibular septum, malaligned defect, overriding of the pulmonary valve, and severe pulmonary hypertension (Group hypertension (Group II-B) has Shaher type 1 coronary anatomy. In this type of coronary anatomy, the left coronary artery courses in front of the pulmonary artery. However, two patients (12.5%) from Group I, four (33%) from Group II-A, and eight (67%) from Group II-B had various unusual coronary patterns, such as Shaher types 2,3,4,7, and 9. All patients had a left or circumflex coronary artery coursing behind the pulmonary artery. These data suggest that the displacement of the infundibular septum not only determines the type of the defect and hemodynamics, but also often relates to the coronary anatomy Removal of a whole, scallop-shaped sinus of Valsalva and minimal dissection of the coronary artery are preferable, particularly for translocation of such unusual coronary anatomy.

This article has been cited by other articles:

				Y. Kosaka, H. Kurosawa, and M. Nagatsu Konno Procedure Using Atrioventricular Groove Patch Plasty After Arterial Switch Operation Ann. Thorac. Surg., November 1, 2004; 78(5): 1854 - 1855. [Abstract] [Full Text] [PDF]

				H. Kurosawa Invited commentary Ann. Thorac. Surg., June 1, 2003; 75(6): 1773 - 1774. [Full Text] [PDF]

				H. Kurosawa Invited commentary Ann. Thorac. Surg., February 1, 2003; 75(2): 429 - 429. [Full Text] [PDF]

				K. Morita, H. Kurosawa, K. Koyanagi, K. Nomura, Y. Uno, H. Naganuma, Y. Matsumura, and T. Inoue Atrioventricular groove patch plasty for anatomically corrected malposition of the great arteries J. Thorac. Cardiovasc. Surg., November 1, 2001; 122(5): 872 - 878. [Abstract] [Full Text] [PDF]

				M. Masuda, H. Kado, Y. Shiokawa, K. Fukae, Y. Kanegae, Y. Kawachi, S. Morita, and H. Yasui Clinical results of arterial switch operation for double-outlet right ventricle with subpulmonary VSD Eur. J. Cardiothorac. Surg., March 1, 1999; 15(3): 283 - 288. [Abstract] [Full Text] [PDF]

				M. Yamagishi, T. Emmoto, Y. Wada, and T. Oka Transposition of the great arteries with anomalous origin of the left coronary artery from the pulmonary artery Ann. Thorac. Surg., October 1, 1998; 66(4): 1416 - 1418. [Abstract] [Full Text] [PDF]

				H. Uemura, T. Yagihara, Y. Kawashima, K. Nishigaki, T. Kamiya, S. Y. Ho, and R. H. Anderson Coronary Arterial Anatomy in Double-Outlet Right Ventricle With Subpulmonary VSD Ann. Thorac. Surg., March 1, 1995; 59(3): 591 - 597. [Abstract] [Full Text]

				G. Wernovsky, J. E. Mayer Jr., R. A. Jonas, F. L. Hanley, E. H. Blackstone, J. W. Kirklin, and A. R. Castaneda Factors influencing early and late outcome of the arterial switch operation for transposition of the great arteries J. Thorac. Cardiovasc. Surg., February 1, 1995; 109(2): 289 - 302. [Abstract] [Full Text]