Modified Damus-Kaye-Stansel Anastomosis to Prevent Coronary Obstruction Between the Great Arteries

Takashi Nagase, MD; Shinichiro Oda, MD, PhD; Yoshinobu Maeda, MD; Jin Ikarashi, MD; Shuhei Fujita, MD, PhD; Yasutaka Goto, MD; Masaaki Yamagishi, MD, PhD

Annals of Thoracic Surgery Short Reports (Sep 2024)

Modified Damus-Kaye-Stansel Anastomosis to Prevent Coronary Obstruction Between the Great Arteries

Takashi Nagase, MD,
Shinichiro Oda, MD, PhD,
Yoshinobu Maeda, MD,
Jin Ikarashi, MD,
Shuhei Fujita, MD, PhD,
Yasutaka Goto, MD,
Masaaki Yamagishi, MD, PhD

Affiliations

Takashi Nagase, MD: Department of Pediatric Cardiovascular Surgery, Children’s Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan
Shinichiro Oda, MD, PhD: Department of Pediatric Cardiovascular Surgery, Children’s Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan; Address correspondence to Dr Oda, 602-8566, Kajii-Cho 465, Kamigyo-Ku, Kyoto-City, Kyoto, Japan.
Yoshinobu Maeda, MD: Department of Pediatric Cardiovascular Surgery, Children’s Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan
Jin Ikarashi, MD: Department of Pediatric Cardiovascular Surgery, Children’s Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan
Shuhei Fujita, MD, PhD: Department of Pediatric Cardiovascular Surgery, Children’s Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan
Yasutaka Goto, MD: Department of Pediatric Cardiovascular Surgery, Children’s Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan
Masaaki Yamagishi, MD, PhD: Department of Pediatric Cardiovascular Surgery, Children’s Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan

Journal volume & issue: Vol. 2, no. 3
pp. 397 – 399

Abstract

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The conventional Damus-Kaye-Stansel procedure may cause coronary artery compression when the coronary arteries are situated between the great arteries. We have performed a modified Damus-Kaye-Stansel procedure utilizing a “flap-bridging technique,” in which an inverted U-shaped flap incised from the aorta is bridged to the main pulmonary trunk, creating sufficient space between the great arteries, in an 8-month-old boy who was a Fontan candidate with congenitally corrected transposition of the great arteries. This modified approach yielded favorable outcomes without coronary events and can effectively prevent coronary obstruction in cases where the coronary arteries run between the great arteries.

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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