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Unroofing Intramural Coronary Artery for Late Coronary Events After Arterial Switch Operation  Kwon Joong Na, MD, Woong-Han Kim, MD, PhD, Woo Sung Jang,

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Presentation on theme: "Unroofing Intramural Coronary Artery for Late Coronary Events After Arterial Switch Operation  Kwon Joong Na, MD, Woong-Han Kim, MD, PhD, Woo Sung Jang,"— Presentation transcript:

1 Unroofing Intramural Coronary Artery for Late Coronary Events After Arterial Switch Operation 
Kwon Joong Na, MD, Woong-Han Kim, MD, PhD, Woo Sung Jang, MD, Kwangho Choi, MD, Jinhae Nam, MD, Gi Beom Kim, MD, PhD, Eun Jung Bae, MD, PhD  The Annals of Thoracic Surgery  Volume 97, Issue 3, Pages (March 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Arterial switch operation. The coronary arteries are excised as a single button and transferred to the neoaorta by augmenting it with a glutaraldehyde-fixed autopericardium (LCA = left coronary artery.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) A poorly defined left main coronary artery (white arrow) on preoperative cardiac computed tomography. (B) The slender course of the intramural left main coronary artery (white arrow) on preoperative coronary angiography. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Unroofing procedure. The ostium and the intramural course of the left main coronary artery were identified and unroofed. The unroofed margin was sutured with 7-0 polypropylene (LCA = left coronary artery; RCA = right coronary artery.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 The intramural course of the left coronary artery (white arrow) is clearly visualized on postoperative cardiac computed tomography. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

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