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Coronary arterial patterns in complete transposition—;classification in relation to the arterial switch procedure

Published online by Cambridge University Press:  19 August 2008

Joseph J. Amato ,
Jonathan Zelen  and
Joanne Bushong
Joseph J. Amato*
Affiliation:
From the Division of Pediatric Cardiothoracic Surgery, Long Island Jewish Medical Center, Schneider Children’s Hospital, New Hyde Park
Jonathan Zelen
Affiliation:
From the Division of Pediatric Cardiothoracic Surgery, Long Island Jewish Medical Center, Schneider Children’s Hospital, New Hyde Park
Joanne Bushong
Affiliation:
From the Division of Pediatric Cardiothoracic Surgery, Long Island Jewish Medical Center, Schneider Children’s Hospital, New Hyde Park
*
Dr. Joseph J. Amato, Long Island Jewish Medical Center, The Schneider Children’s Hospital, New Hyde Park, New York 11042, USA. Tel.718-470-3580; Fax. 718-343-8368.
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Abstract

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The arterial switch operation has become the standard of surgical repair for total correction of complete transposition (concordant atrioventricular and discordant ventriculoarterial connections). A standard nomenclature for classification of the numerous anatomic relationships the coronary arteries may assume, however, has yet to be universally adopted. Inconsistent use of varied nomenclatures remain an obstacle to effective communication between physicians and surgeons. In this review we offer a unified nomenclature incorporating five important relationships: the configuration of the sinuses; their location; the configuration of the arterial orifices; the pattern of branching of the major coronary arteries; and the course of each artery.

Keywords

Transposition of the great vesselsarterial switchnomenclatureclassification
Type
Editorial review and proposal
Information
Cardiology in the Young , Volume 4 , Issue 4 , October 1994 , pp. 329 - 339
Copyright
Copyright © Cambridge University Press 1994

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