Journal article

The influence of coronary artery anatomy on mortality after the arterial switch operation

Tyson A Fricke, Douglas Bell, Michael Daley, Yves d'Udekem, Christian P Brizard, Nelson Alphonso, Igor E Konstantinov

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | MOSBY-ELSEVIER | Published : 2020

Abstract

OBJECTIVE: We sought to determine the influence of coronary artery anatomy on mortality in more than 1000 children undergoing the arterial switch operation. METHODS: All patients who underwent an arterial switch operation were identified from 2 hospital databases and reviewed retrospectively. Coronary anatomy was recorded from operative reports using the Leiden classification. RESULTS: An arterial switch operation was performed in 1033 children between 1983 and 2013. Coronary anatomy was normal in 697 patients (67%). The most common type of anomalous coronary anatomy was the circumflex coronary artery arising from sinus 2 (in 152 patients [15%]). Forty-seven patients (4.5%) had all coronary ..

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Grants

Awarded by Australian National Health and Medical Research Council


Funding Acknowledgements

Supported by the Victorian Government's Operational Infrastructure Support Program in Australia. Dr Fricke is a recipient of a postgraduate scholarship from the Australian National Health and Medical Research Council (No. 1134203). Dr d'Udekem is an Australian National Health and Medical Research Council Clinician Practitioner Fellow (No. 1082186).