Norwood Procedure for Hypoplastic Left Heart With Anomalous Coronary Artery From Pulmonary Trunk

Rieko Kutsuzawa, MD; Yuji Tominaga, MD, PhD; Keisuke Shibagaki, MD; Satoru Takashima, MD; Heima Sakaguchi, MD, PhD; Shigemitsu Iwai, MD, PhD

Annals of Thoracic Surgery Short Reports (Sep 2024)

Norwood Procedure for Hypoplastic Left Heart With Anomalous Coronary Artery From Pulmonary Trunk

Rieko Kutsuzawa, MD,
Yuji Tominaga, MD, PhD,
Keisuke Shibagaki, MD,
Satoru Takashima, MD,
Heima Sakaguchi, MD, PhD,
Shigemitsu Iwai, MD, PhD

Affiliations

Rieko Kutsuzawa, MD: Department of Pediatric Cardiac Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan
Yuji Tominaga, MD, PhD: Department of Pediatric Cardiac Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan
Keisuke Shibagaki, MD: Department of Pediatric Cardiac Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan
Satoru Takashima, MD: Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan
Heima Sakaguchi, MD, PhD: Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan
Shigemitsu Iwai, MD, PhD: Department of Pediatric Cardiac Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan; Address correspondence to Dr Iwai, Department of Pediatric Cardiac Surgery, National Cerebral and Cardiovascular Center, Kishibe-Shinmachi, 6-1, Suita, Osaka 564-8565, Japan.

Journal volume & issue: Vol. 2, no. 3
pp. 414 – 417

Abstract

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Undetected coronary anomalies at Norwood procedure are associated with poor prognosis due to inadequate myocardial protection. We report a case of anomalous origin of the right coronary artery from the main pulmonary artery trunk with hypoplastic left heart syndrome and aortic atresia. Although, during bilateral pulmonary artery banding as initial palliation, the proximity between the right coronary artery origin and the aortic root made a visual diagnosis difficult, it was diagnosed using computed tomography before the Norwood procedure. The Norwood procedure is safe in patients with coronary anomalies after accurate diagnosis to ensure intraoperative myocardial protection.

Published in Annals of Thoracic Surgery Short Reports

ISSN: 2772-9931 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/annals-of-thoracic-surgery-short-reports

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