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The Journal of Thoracic and Cardiovascular Surgery, Vol 96, 816-822, Copyright © 1988 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
SA Battistessa, SY Ho, RH Anderson, A Smith and PB Deverall
Dissection was performed in 41 hearts from patients with classic tricuspid
atresia so as to demonstrate the major arteries supplying the right atrium
and the sinus node. A right anterior atrial artery was identified in 85.4%
of the hearts, a right lateral atrial artery was seen in 68.3%, a right
posterior atrial artery in 41.5%, and a left anterior atrial artery in
78.0% of the specimens. The artery to the sinus node, identified in 34
hearts, originated from the right coronary artery in 38% of the cases, from
the left coronary artery in 59%, and had a dual origin in 3% of cases. The
relative importance of these arteries is discussed with regard to the
atriopulmonary anastomosis of the Fontan procedure. Special consideration
is given to the incisions employed in different variations of this
operation and the arterial distribution is compared to that found in the
normal heart.
ARTICLES
The arterial supply to the right atrium and the sinus node in classic tricuspid atresia
Guy's Hospital, London, England.
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