37. Anatomical classifications of the coronary arteries in complete transposition of the great arteries and Taussig-Bing heart variants
Main Article Content
Abstract
This study was conducted to describe the anatomical morphologies of the coronary arteries in complete transposition of the great arteries and Taussig-Bing variants who underwent arterial switch operation at the Children’s Heart Center, Vietnam National Children’s Hospital from February 2010 to February 2024. The normal anatomy of the coronary arteries is defined as the left anterior descending artery and the circumflex artery come from the sinus 1, and the right coronary artery comes from the sinus 2 (1LCx-2R). There were 741 consecutive patients enrolled in this study, with the median age and the median weight at operation were 23 days old (IQR, 43 - 12 days old) and 3,4kg (IQR, 3.9 - 3.1kg), respectively. There were 352 (47.5%) patients with normal coronary arteries (1LCx-2R), 389 (52.5%) patients with abnormal coronary artery anatomy. In the unusual coronary arteries, there were 123 patients (16.6%) who had a single coronary artery, and 61 patients (8.2%) had an intramural coronary artery. There were 82 Taussig-Bing variant patients (71.9%; 82/114 patients) who had an abnormal anomaly of the coronary arteries.
Article Details
Keywords
Coronary arteries anatomy, transposition of the great arteries, Taussig-Bing variants
References
2. Konstantinov IE. Taussig-Bing anomaly: from original description to the current era. Tex Heart Inst J. 2009; 36(6): 580-585.
3. Jatene AAD, Fontes VF, Paulista PP. Successful anatomic correction of transposition of the great vessels. A preliminary report. Arq Bras Cardiol. 1975; 28/4: 461-464.
4. Li J. Coronary arterial origins in transposition of the great arteries: factors that affect outcome. A morphological and clinical study. Heart. 2000; 83(3): 320-325. doi: 10.1136/heart.83.3.320.
5. Koppel CJ, Vliegen HW, Bökenkamp R, et al. The Leiden Convention coronary coding system: translation from the surgical to the universal view. European Heart Journal - Cardiovascular Imaging. 2022; 23(3): 412-422. doi:10.1093/ehjci/jeab012.
6. Pasquali SK, Hasselblad V, Li JS, Kong DF, Sanders SP. Coronary Artery Pattern and Outcome of Arterial Switch Operation for Transposition of the Great Arteries: A Meta-Analysis. Circulation. 2002; 106(20): 2575-2580. doi:10.1161/01.CIR.0000036745.19310.BB.
7. Shaher RM, Puddu GG. Coronary arterial anatomy in complete transposition of the great vessels. American Journal of Cardiology. 1966; 17(3): 355-361. doi:10.1016/0002-9149(66)90218-9.
8. 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(4): 418-424. doi:10.1136/thx.33.4.418.
9. Wang C, Chen S, Zhang H, et al. Anatomical Classifications of the Coronary Arteries in Complete Transposition of the Great Arteries and Double Outlet Right Ventricle with Subpulmonary Ventricular Septal Defect. Thoracic and Cardiovascular Surgeon.
10. Lalezari S, Bruggemans EF, Blom NA, Hazekamp MG. Thirty-Year Experience With the Arterial Switch Operation. The Annals of Thoracic Surgery. 2011; 92(3): 973-979. doi:10.1016/j.athoracsur.2011.04.086.