Direct Microvascular Repair of an Infant's Transected Coronary Artery: Case Report
| Autor: | J. Geoffrey Stevenson, Emilia A. Ploplys, Gordon A. Cohen, Lester C. Permut, Arshad R. Muzaffar |
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| Rok vydání: | 2005 |
| Předmět: |
Male
Reoperation Microsurgery medicine.medical_specialty Heart disease Transposition of Great Vessels medicine.medical_treatment Anastomosis Postoperative Complications medicine.artery medicine Humans Minimally Invasive Surgical Procedures Cardiac Surgical Procedures business.industry Infant Plastic Surgery Procedures Transposition of the great vessels medicine.disease Coronary Vessels Echocardiography Doppler Surgery Cardiac surgery Plastic surgery Treatment Outcome medicine.anatomical_structure Right coronary artery cardiovascular system business Artery |
| Zdroj: | Journal of Reconstructive Microsurgery. 21:547-550 |
| ISSN: | 1098-8947 0743-684X |
| Popis: | The authors report the direct, microvascular repair of a right coronary artery transected during reoperation for complications of arterial switch operation (ASO) in a 3 month-old child. This is the first documented use of direct microsurgical anastamosis in the repair of an infant's transected coronary artery. Deviation from standard coronary , bypass graft repair was permitted by vessel characteristics, as well as close collaboration between plastic surgery and cardiac surgery services. Patency of repair was confirmed intraoperatively with Doppler ultrasound and through postoperative echocardiograms documenting stable right ventricular function. This case highlights the benefit of a multidisciplinary approach to an emergent clinical problem using microsurgical techniques. |
| Databáze: | OpenAIRE |
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