대혈관전위로 동맥치환술을 시행했던 환자에서 발생한 관상동맥 압박 -1예 보고- = Coronary Artery Compression after an Arterial Switch Operation for Transposition of the Great Arteries -A case report-

다국어 초록 (Multilingual Abstract)

An adequate location of the reimplanted coronary arteries is one of the most important prognostic factors for an arterial switch operation for treating TGA (transposition of great arteries). We report here on a case of malposition of the reimplanted coronary artery in a 14-year-old boy who had undergone an arterial switch operation. He had chest pain and dyspnea on exertion. The imaging study showed that the ostium of the left main coronary artery, which was between the neo-pulmonary artery and the neo-aorta, was compressed by the great arteries. We excised the left main coronary artery with a button incision from the aorta and reimplanted it on the left lateral side of the aorta. The patency of the left main coronary artery os after the operation was good and it was not compressed by the surrounding arteries.

참고문헌 (Reference)

1 Gulati R, "Surgical management of coronary artery arising from the wrong coronary sinus, using standard and novel approaches" 134 : 1171-1178, 2007

2 Raisky O, "Late coronary artery lesions after neonatal arterial switch operation: results of surgical coronary revascularization" 31 : 894-898, 2007

3 조현오, "Anomalous Origin of the Left Coronary Artery from the Right Sinus ofValsalva, which Presented as Acute Myocardial Infarction" 대한심장학회 36 (36): 817-819, 2006

4 한정규, "Anomalous Origin of the Left Coronary Artery Leading to Myocardial Infarction in a 14-year-old boy" 대한심장학회 37 (37): 39-42, 2007

5 이영수, "Anomalous Origin of the Left Circumflex Coronary Artery fromthe Right Sinus of Valsalva Identified by Imaging withMultidetector Computed Tomography" 대한심장학회 36 (36): 823-825, 2006