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A Journal on Surgery

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Chirurgia 2006 October;19(5):371-3

language: English

Tetralogy of fallot with abnormal coronary artery

Korkut A. K., Ozkara A., Cetin G., Ersanli M., Suzer K.

1 Department of Cardiovascular Surgery Istanbul University, Haseki Cardiology Institute Istanbul, Turkey
2 Department of Cardiology Istanbul University, Haseki Cardiology Institute Istanbul, Turkey


The coronary artery anomaly in Fallot Tetralogy increases mortality and morbidity in surgical total correction. Different techniques are described in reconstruction of the right ventricular outflow tract (RVOT). We performed transannular patchplasty under the mobilized left anterior descending coronary artery in a 31-year-old patient. The LAD and the RCA arteries arose as a single ostium from sinus 2. The LAD artery was mobilized together with surrounding epicardium. RVOT was reconstructed with pericardial patch beneath the LAD. The patient was discharged without any problem. This corrective technique is appropriate in adult patients with coronaries allowing dissection and mobilizing without extension. If any ischemic problem occurs using any type of this techniques, the left internal thoracic artery anastomosis to the coronary artery should be performed.

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