Arterial switch procedure

Case contributed by Dr Matt A. Morgan



Patient Data

Age: 25 years
Gender: Male

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

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 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
Published: 26th Oct 2014
Last edited: 7th Oct 2020
Inclusion in quiz mode: Included
Institution: Johns Hopkins Hospitals

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