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    CASE REPORT

    A Rare Case of Late LAD Reimplantation after Arterial Switch Operation

    Yannick Kabulo Kolela1,2, Maureen Klepper1,2, Geoffroy de Beco1,2, Thierry Sluysmans3, Alain Poncelet1,2,*

    Congenital Heart Disease, Vol.17, No.1, pp. 99-106, 2022, DOI:10.32604/CHD.2022.017635 - 26 October 2021

    Abstract Arterial switch operation (ASO) is a complex neonatal operation in which transfer of the coronary arteries origins is the key to success. Coronary events after a successful ASO are not uncommon. We describe a rare case of a child who underwent an ASO in the neonatal period with one coronary (LAD) described as atretic left in place. At age seven, he developed myocardial ischemia due to retrograde flow with a steal phenomenon from the LAD into the pulmonary artery. The patient underwent a late LAD reimplantation. This case underscores that even very small ostia should More >

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