Arterial switch procedure

Case contributed by Dr Matt A. Morgan

Presentation

Asymptomatic.

Patient Data

Age: 20-25Y
Gender: Male
Modality: CT

Axial, coronal, and sagittal series in a patient 22 years out from an arterial switch procedure.

Modality: Annotated image

(Annotated image) The coronary arteries are re-implanted in this procedure. Note how the coronary artery orientation is altered with the new left coronary arising off the "right" coronary cusp and the new right coronary artery arising off the "noncoronary" cusp.

Case Discussion

This 23Y patient presented to cardiology clinic for routine follow up. He had undergone an arterial switch procedure (Jatene procedure) shortly after birth to correct D-transposition of the great arteries.

The original surgery had never needed revision and patient was asymptomatic at his clinic visit, demonstrating the potential long-term durability of this procedure.

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Case Information

rID: 31607
Case created: 17th Oct 2014
Last edited: 17th Sep 2015
Inclusion in quiz mode: Included

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