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Coronary Artery Anomalies in Patients With Transposition of the Great Arteries and Their Impact on Postoperative Outcomes  Maciej Moll, MD, PhD, Krzysztof.

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Presentation on theme: "Coronary Artery Anomalies in Patients With Transposition of the Great Arteries and Their Impact on Postoperative Outcomes  Maciej Moll, MD, PhD, Krzysztof."— Presentation transcript:

1 Coronary Artery Anomalies in Patients With Transposition of the Great Arteries and Their Impact on Postoperative Outcomes  Maciej Moll, MD, PhD, Krzysztof W. Michalak, MD, PhD, Katarzyna Sobczak-Budlewska, MD, Jadwiga A. Moll, MD, PhD, Marek Kopala, MD, PhD, Konrad Szymczyk, MD, Paweł Dryżek, MD, PhD, Jacek J. Moll, MD, PhD  The Annals of Thoracic Surgery  Volume 104, Issue 5, Pages (November 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Arterial switch operation schema: (A) Incision for the right coronary artery is placed high above the valve and parallel to the transection line (green arrow). A second incision for the left coronary artery (blue arrow) goes deep to the sinus of the neoaorta and has the shape of a hockey stick. (B) Double incisions (black arrows) on the anterior and posterior wall of the pulmonary artery facilitate direct connection with a wide and tensionless anastomosis of the transected vessel. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A–D) Coronary artery configurations in children with transposition of the great arteries. The dotted lines indicate possible coexisting coronary arteries requiring translocation during arterial switch operation. (aLAD = accessory left anterior descending artery; Ao = aorta; CA = coronary artery; Cx = circumflex artery; LAD = left anterior descending artery; LCA = left coronary artery; NC = noncoronary sinus; PA = pulmonary artery; RCA = right coronary artery; RIA = right innominate artery.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (Top) Spatial configurations of the great arteries in children with transposition of the great arteries and (Bottom) the correlations between these configurations and coronary pattern variations. (AoV = aortic valve; PAV = pulmonary artery valve.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Kaplan-Meier curves (plotted with 95% confidence interval bands [shaded areas]) represent the (A) probability of survival, (B) the probability of freedom from postoperative reinterventions, whether surgical or catheter-based, and (C) the probability of freedom from postoperative coronary events in children with transposition of the great arteries after an arterial switch operation in patients with and without complex coronary anomalies. The vertical axis (y) scale was modified and ranges between 0.7 and “Others” indicates patients with normal coronary anatomy or an isolated circumflex artery branching off from the right coronary artery. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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