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
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 be translocated at the time… More >
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