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Case Report: Challenging Perioperative Decision-Making in a Neonate With Transposition of Great Arteries and Novel Coronary Anatomy
Journal article   Open access   Peer reviewed

Case Report: Challenging Perioperative Decision-Making in a Neonate With Transposition of Great Arteries and Novel Coronary Anatomy

Madhuradhar Chegondi, Marco Ricci and Ravi C. Ashwath
Frontiers in pediatrics, Vol.10, 900142
07/06/2022
DOI: 10.3389/fped.2022.900142
PMCID: PMC9298846
PMID: 35874587
url
https://doi.org/10.3389/fped.2022.900142View
Published (Version of record) Open Access

Abstract

Transposition of great arteries (d-TGA) is often associated with various coronary artery (CA) patterns. These anomalous patterns can cause variable clinical symptoms of coronary ischemia including sudden death. CA pattern is one of the major determinants of outcome in TGA postoperatively. An advanced cardiac imaging and a multidisciplinary care approach are essential for a favorable outcome. Here, we describe a novel CA origin pattern in a neonate with d-TGA, who developed myocardial ischemia and required a coronary unroofing procedure for a full recovery.
Pediatrics Life Sciences & Biomedicine Science & Technology

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