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Left coronary artery stenosis with post-stenotic aneurysm after arterial switch operation before and after coronary revascularisation surgery

Published online by Cambridge University Press:  19 April 2011

Davide Marini ,
Claudio Defilippi  and
Gabriella Agnoletti
Davide Marini*
Affiliation:
Department of Cardiology, Ospedale Infantile Regina Margherita, Turin, Italy
Claudio Defilippi
Affiliation:
Department of Radiology, Ospedale Infantile Regina Margherita, Turin, Italy
Gabriella Agnoletti
Affiliation:
Department of Cardiology, Ospedale Infantile Regina Margherita, Turin, Italy
*
Correspondence to: D. Marini, MD, Paediatric Cardiology, Ospedale Infantile Regina Margherita, Piazza Polonia 94, 10124, Turin, Italy. Tel: 0039 011 313 1556; Fax: 0039 011 313 5482; E-mail: davide.marini@oirmasantanna.piemonte.it
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Abstract

We report the case of a child with severe and atypical stenosis of the left main coronary artery, which occurred late after arterial switch operation for transposition of the great arteries. Cardiac computed tomography accurately defined the lesion, showing the presence of post-stenotic dilation, guided the surgical approach and assessed coronary patency after revascularisation surgery.

Keywords

Coronary stenosiscomputed tomographytransposition of great arteries
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 21 , Issue 4 , 12 July 2011 , pp. 456 - 457
Copyright
Copyright © Cambridge University Press 2011

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References

1.Yacoub, MH, Radley-Smith, R. Anatomy of the coronary arteries in transposition of the great arteries and methods for their transfer in anatomical correction. Thorax 1978; 33: 418–424.CrossRefGoogle ScholarPubMed
2.Legendre, A, Losay, J, Touchot-Koné, A, et al. Coronary events after arterial switch operation for transposition of the great arteries. Circulation 2003; 108: 186–190.CrossRefGoogle ScholarPubMed