Department of Cardiovascular Surgery, Hacettepe University School of Medicine, Ankara, Turkey.
Department of Pediatric Cardiology, Hacettepe University School of Medicine, Ankara, Turkey.
J Card Surg. 2021 Jun;36(6):2099-2102. doi: 10.1111/jocs.15499. Epub 2021 Mar 19.
Coronary artery anomalies may accompany the aortopulmonary window and, if not noticed, may cause catastrophic consequences. The repair of the aortopulmonary window is quite straightforward; however, establishing a normal coronary pattern may challenge the repair. When the anomalous origin of the coronary artery is on the defect rim, right at the location where sutures are to be placed, it may interfere with proper suture placement. A technique to overcome such a technical obstacle and reroute the anomalous right coronary in such cases is described.
冠状动脉异常可能伴随主肺动脉窗出现，如果没有被注意到，可能会导致灾难性的后果。主肺动脉窗的修复相对简单；然而，建立正常的冠状动脉模式可能会对修复造成挑战。当冠状动脉的异常起源位于缺损边缘，就在将要放置缝线的位置时，它可能会干扰正确的缝线放置。本文介绍了一种克服这种技术障碍的技术，可在这种情况下重新引导异常的右冠状动脉。
