Coronary artery anomalies in chd
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CORONARY ARTERY ANOMALIES IN CHD
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Coronary artery anomalies in chd
- 1. Coronary artery anomalies variations in congenital heart disease Kartik patel
- 2. 1. CORONARY ANOMALIES ASSOCIATED WITH CHD 2. CORONARY ANOMALIES DUE TO CHD
- 3. COGENITAL HEART DISEASES • TOF • DORV • TGA • TRUNCUS • PA/IVS • UNIVENTRICULAR HEART
- 4. CORONARY ANOMALIES/PATTERNs IN TETROLOGY OF FALLOT
- 7. LAD /accessory LAD from RCA m/c large conal banch single coronary ostia
- 9. ANOMALOUS CORONARY CROSSING RVOT SURGICAL OPTIONS • Transverse /Vertical ventriculotomy • Double outflow technique • Trans RA Approach • TAP under the coronary • MPA transcolation • RCA translocation • Conduit Repair
- 12. RVOT PATCH SEPARATE PATCH ENLARGEMENT OF RVOT AND MPA (Adequate pulmonary annulus)
- 14. PATCH UNDERNEATH THE CORONARY
- 16. ADVANTAGES OF PATCH UNDER THE CORONARY • AVOIDANCE OF CONDUIT • GROWTH POTENTIAL • LESS CORONARY DISTORTION IN FUTURE NOT APPLICABLE IN ALL SUBTYPES….
- 17. O'Blenes S. B. et al.; Ann Thorac Surg 1996;62:1186-1188(TORONTO) MPA TRANSLOCATION
- 18. Wan-Jun Luo, MD, Ri-Mao Huang, MD, Yong Tang, MD, Bei Li, MD ASIAN CARDIOVASCULAR & THORACIC ANNALS 74 2008, VOL. 16, NO. 1
- 19. SINGLE CORONARY-REDO TOF Nagashima,japan:ASIAN ANNALS;2006.
- 21. TGA
- 22. Coronary pattern; Planche Looping course: (A) post. loop (B) ant. Loop (C) double loop
- 23. Coronary pattern; Planche Course between aorta and pulmonary trunk
- 24. Coronary pattern • No given pattern for coronary artery in TGA patients • Careful observation for both ostia, course and branching • Case originating from non-facing sinus
- 25. Management of single coronary artery
- 26. Management of single coronary artery
- 27. Management of intramural coronary artery
- 28. Case with single sinus double orifice
- 29. PULMONARY ATRESIA WITH INTACT VENTRICULAR SEPTUM
- 36. a, Schematic of a heart with pulmonary atresia and intact ventricular septum (PA-IVS) and the tissue blocks that were taken for immunohistochemical study. b, Drawing of a heart with PA- IVS, demonstrating the location of the main connection sites of ventric... Oosthoek P W et al. Circulation 1995;91:1790-1798 Copyright © American Heart Association
- 37. AP window • RCA from MPA most common • No sign/symptom of MI due to LR shunt • RCA translocation is preferred treatment •
- 38. CORONARY ANOMALIES AS A RESULT OF CONGENITAL HEART DISEASE
- 39. COARCTATION OF AORTA • COARCTATION HYPERTENSION IS AN RISK FACTOR FOR PREMATURE ATHEROSCLEROSIS • STRUCTURAL ABNORMALITIES OF INTRAMURAL CORONARY ARTERIES
Editor's Notes
- 7Y FEMALE,1.5 mm PROBE USED ,AFTER AORTOTOMY TO CONFIRM CORONARY COURSE,POST OP TRANS RA/PA REP 2 YR BACK WITH RVOTO SEVTR.GORETEX
- READ SPENCER
- This four chamber view of a heart with pulmonary atresia and intact ventricular septum demonstrates a hypoplastic right ventricle (HRV) with a right coronary artery (RCA) to right ventricular (RV) fistula. The right coronary artery is dilated and thick walled along nearly its entire length. The interventricular septum is thin and there is an Ebstein-like malformation of the septal leaflet of the tricuspid valve (TV). The septal leaflet is adherent to the septum along is entire length (black arrows). (A-aorta, LV-left ventricle, MV-mitral valve)
- This superior view of a heart with pulmonary atresia and intact ventricular septum (not shown) demonstrates an atretic pulmonary artery (PA) with a left coronary artery (LCA) to right ventricular fistula (not shown). The left coronary artery is dilated along nearly its entire length.
- a, Schematic of a heart with pulmonary atresia and intact ventricular septum (PA-IVS) and the tissue blocks that were taken for immunohistochemical study. b, Drawing of a heart with PA-IVS, demonstrating the location of the main connection sites of ventriculo–coronary arterial communications (thick black lines). c, Drawings of the individual hearts that were studied to demonstrate the sites of ventriculo–coronary arterial communications (thick black lines), interruptions of the subepicardial coronary arteries (asterisks), and the tissue blocks that were taken for immunohistochemical evaluation (rectangles). Ao indicates aorta; LAD, left anterior interventricular artery; LCx, left circumflex branch; prox, proximal; RCA, right coronary artery; RPD, right posterior interventricular artery. Panels b and c are modified from Gittenberger-de Groot et al.5