Surgical Correction of Truncus Arteriosus With Unusual Origin of the Right Coronary Artery
| Autor: | Antonio Fernández, Thomas G. Di Sessa, Humberto Rodriguez, Armando Guzman, Hernán Montero |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
0301 basic medicine Truncus Arteriosus Heart Ventricles Constriction Pathologic Pulmonary Artery 030204 cardiovascular system & hematology Truncus arteriosus Surgical Flaps 03 medical and health sciences 0302 clinical medicine Blood vessel prosthesis medicine.artery medicine Humans Child Bioprosthesis Aorta Arterial trunk business.industry General Medicine Anatomy medicine.disease Truncus Arteriosus Persistent Blood Vessel Prosthesis Stenosis 030104 developmental biology medicine.anatomical_structure Ventricle Right coronary artery Pediatrics Perinatology and Child Health Pulmonary artery cardiovascular system Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | World Journal for Pediatric and Congenital Heart Surgery. 7:407-410 |
| ISSN: | 2150-136X 2150-1351 |
| DOI: | 10.1177/2150135115596585 |
| Popis: | An 11-year-old male with a diagnosis of truncus arteriosus (common arterial trunk) with origin of the right coronary artery anteriorly from the pulmonary segment of the common trunk underwent reparative surgery. The pulmonary trunk was long, and it had a kink with stenosis that protected the distal pulmonary vascular bed from elevated pressure. Adequate flow allowed well-developed distal branch pulmonary arteries. An oval incision was made in the pulmonary trunk, which created a flap. At its center was the right coronary artery. This flap, which remained attached to the aorta proximally, was then used to close the aortic defect. The segment of the pulmonary trunk with stenosis was resected. The patient’s pericardium was used to fashion a valved conduit that was interposed between the right ventricle and the confluence of the pulmonary artery branches. |
| Databáze: | OpenAIRE |
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