Tetralogy of Fallot correction with transannular patch reconstruction in a patient with an anomalous right coronary artery and an unusual course of the right ventricular branch | Zendy

Sabrina Anne Gonzalez | Zendy; Sivakumar Sivalingam | Zendy

Open Access

Tetralogy of Fallot correction with transannular patch reconstruction in a patient with an anomalous right coronary artery and an unusual course of the right ventricular branch

Author(s) -

Sabrina Anne Gonzalez,

Sivakumar Sivalingam

Publication year - 2020

Publication title -

indian journal of thoracic and cardiovascular surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.114

H-Index - 9

eISSN - 0973-7723

pISSN - 0970-9134

DOI - 10.1007/s12055-020-01074-0

Subject(s) - tetralogy of fallot , medicine , ventricular outflow tract , cardiology , hypoplasia , cardiac surgery , artery , right coronary artery , pulmonary artery , left coronary artery , coronary angiography , heart disease , myocardial infarction

Anomalous coronary arteries occur in as many as 12% of patients with tetralogy of Fallot (TOF). In patients with this condition, pulmonary hypoplasia can be prohibitive in performing a valve-sparing repair, subsequently resulting in various techniques to preserve the anomalous coronary artery. The management strategy is often complex in such a situation. We report on a case of TOF with an anomalous right coronary artery crossing the right ventricular outflow tract, with an unusual course of the right ventricular (RV) branch, which precluded placement of a valved conduit. In this case, we performed a successful repair with mobilization of the anomalous coronary artery and reconstruction of the right ventricular outflow tract with a limited transannular patch.

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