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

Madhuradhar Chegondi; Marco Ricci; Marco Ricci; Ravi C. Ashwath

doi:10.3389/fped.2022.900142

Frontiers in Pediatrics (Jul 2022)

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

Madhuradhar Chegondi,
Marco Ricci,
Marco Ricci,
Ravi C. Ashwath

Affiliations

Madhuradhar Chegondi: Division of Critical Care Medicine, Stead Family Children's Hospital & Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA, United States
Marco Ricci: Division of Critical Care Medicine, Stead Family Children's Hospital & Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA, United States
Marco Ricci: Division of Pediatric Cardiac Surgery, Stead Family Children's Hospital, Iowa City, IA, United States
Ravi C. Ashwath: Division of Pediatric Cardiology, Stead Family Children's Hospital, Iowa City, IA, United States

DOI: https://doi.org/10.3389/fped.2022.900142
Journal volume & issue: Vol. 10

Abstract

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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.

Published in Frontiers in Pediatrics

ISSN: 2296-2360 (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Pediatrics
Website: http://journal.frontiersin.org/journal/pediatrics

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Abstract

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