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Coronary arterial patterns in complete transposition—;classification in relation to the arterial switch procedure

1994; Cambridge University Press; Volume: 4; Issue: 4 Linguagem: Inglês

10.1017/s1047951100002304

1467-1107

Joseph J. Amato, Jonathan Zelen, Joanne Bushong,

Cardiovascular Issues in Pregnancy

Abstract The arterial switch operation has become the standard of surgical repair for total correction of complete transposition (concordant atrioventricular and discordant ventriculoarterial connections). A standard nomenclature for classification of the numerous anatomic relationships the coronary arteries may assume, however, has yet to be universally adopted. Inconsistent use of varied nomenclatures remain an obstacle to effective communication between physicians and surgeons. In this review we offer a unified nomenclature incorporating five important relationships: the configuration of the sinuses; their location; the configuration of the arterial orifices; the pattern of branching of the major coronary arteries; and the course of each artery.