Rare Association of an Intramural Coronary Artery and Truncus Arteriosus - 30/10/20

Doi : 10.1016/j.hlc.2020.06.005

Phillip S. Naimo, MD ^a,^b,^c, Yves d'Udekem, MD, PhD ^a,^b,^c,^d, Robert G. Weintraub, MBBS ^b,^c,^e, Christian P. Brizard, MD ^a,^b,^c,^d, Igor E. Konstantinov, MD, PhD ^a,^b,^c,^d,^⁎
^a Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Vic, Australia
^b Department of Paediatrics, University of Melbourne, Melbourne, Vic, Australia
^c Heart Research Group, Murdoch Children's Research Institute, Melbourne, Vic, Australia
^d Melbourne Children's Centre for Cardiovascular Genomics and Regenerative Medicine, Melbourne, Vic, Australia
^e Department of Cardiology, Royal Children's Hospital, Melbourne, Vic, Australia

^∗Corresponding author at: Royal Children's Hospital, Flemington Road, Parkville, Vic 3052, Australia. Tel.: 61 3 9345 5200; fax: 61 3 9345 6386Royal Children's HospitalFlemington RoadParkvilleVic3052Australia

Abstract

The association of truncus arteriosus (TA) and an intramural coronary artery is rare. Seven (7) patients had TA and an intramural coronary artery at the Royal Children's Hospital, Melbourne between 1996 and 2018. Four (4) patients underwent concomitant unroofing of their intramural coronary artery. One (1) patient who did not undergo concomitant unroofing had a cardiac arrest on postoperative day 1 and subsequently underwent reoperation for coronary unroofing. Given the potential for serious complications, patients with TA and an intramural coronary artery may benefit from coronary unroofing with creation of a generous neo-ostium.

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Keywords : Truncus arteriosus, Intramural coronary artery, Congenital heart disease

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Vol 29 - N° 11

P. e263-e264 - novembre 2020 Retour au numéro

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Rare Association of an Intramural Coronary Artery and Truncus Arteriosus - 30/10/20

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