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Mitsugi Nagashima
Tetsuo Tomino
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Asian Cardiovasc Thorac Ann 2006;14:e80-e82
© 2006 Asia Publishing EXchange Ltd


CASE STUDIES

Re-operation for Tetralogy of Fallot with Single Right Coronary Artery

Mitsugi Nagashima, MD, Harumitsu Sato, MD, Yosihisa Hohjo, MD, Yoshiki Okamoto, MD, Takashi Miura, MD, Tetsuo Tomino, MD

Department of Cardiovascular Surgery, Ehime Prefectural Central Hospital, Japan

For reprint information contact: Mitsugi Nagashima, MD Tel: 81 8 9947 1111 ext. 2250 Fax: 81 8 9943 4136 Email: mitsugi{at}aqua.plala.or.jp, Department of Cardiovascular Surgery, Ehime Prefectural Central Hospital, 83 Kasuga-cho, Matsuyama-city, Ehime-prefecture 790-0024, Japan.

A 7-year-old girl with tetralogy of Fallot in association with a single right coronary artery, was successfully re-operated on for right ventricular outflow tract obstruction. To identify the course of the abnormal coronary arteries during the re-operation, a probe was directly inserted into the coronary arteries after aortotomy. Ventriculotomy was successfully performed under the guide of the probe, without damaging the coronary arteries. Double outflow technique was applied for the relief of the right ventricular outflow tract obstruction.







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