TITLE

Unusual presentation of myocardial ischemia after arterial switch operation

AUTHOR(S)
Çetin, Gürkan; Saltık, Levent; Özkara, Ahmet; Babaoğlu, Kadir
PUB. DATE
March 2005
SOURCE
European Journal of Cardio-Thoracic Surgery;Mar2005, Vol. 27 Issue 3, p518
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract: Ischemic changes and acute or subacute cardiac failure after arterial switch operation generally results from imperfect transfer of coronary arteries to the neoaorta. Peroperative and early postoperative myocardial ischemia is the main cause of death in these patients. We present an unusual cause of myocardial ischemia and cardiac failure after arterial switch: a congenital coronary artery fistula between the circumflex artery and the right ventricle. The symptoms imitate coronary translocation failure. In differential diagnosis of the coronary perfusion problems encountered after the arterial switch operation, coronary artery fistula should not be forgotten, although it is rare.
ACCESSION #
17436587

 

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