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Damus–Kaye–Stansel procedure avoids coronary obstruction in complex D‐transposition
Author(s) -
Simon Bartholomew V.,
Swartz Michael F.,
Alfieris George M.
Publication year - 2018
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.13937
Subject(s) - medicine , great arteries , ventricle , transposition (logic) , cardiology , coronary arteries , artery , pulmonary artery banding , pulmonary artery , linguistics , philosophy
Although all coronary anatomy in D‐transposition of the great arteries may be “switchable,” there are reports in the literature of early and late coronary obstruction following the arterial switch operation. The Damus‐Kaye‐Stansel procedure does not risk injury to the coronary arteries, and unlike the atrial switch, commits the left ventricle to the systemic circulation. We present a series of four neonates over 22 years with D‐transposition of the great arteries and a concomitant coronary artery anomaly precluding arterial switch that were repaired using a Damus‐Kaye‐Stansel procedure and right ventricle to pulmonary artery conduit.