RESEARCH ARTICLE


Surgical Implications of Coronary Arterial Anatomy in Adults with Congenital Cardiac Disease



Ad J.J.C Bogers*, Ismael Eralp, A. Pieter Kappetein
1 Department of Cardiothoracic Surgery, Thoraxcentre, Erasmus MC, PO Box 2040, 3000 CA Rotterdam, The Netherlands


© Bogers et al.; Licensee Bentham Open

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/), which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the Department of Cardiothoracic Surgery, Thoraxcentre, Erasmus MC, PO Box 2040, 3000 CA Rotterdam, The Netherlands; Tel: ++31104635411; Fax: ++31104633993; E-mail: a.j.j.c.bogers@erasmusmc.nl


Abstract

In adults with congenital heart disease coronary arterial anatomy, normal as well as anomalous, may have implications in surgical reconstruction of an underlying cardiac structure.

In addition to the diagnostic imaging, necessary in surgery for adult congenital heart disease, additional information with regard to the spatial relation between the relevant cardiac structure and the coronary arterial system may be required for planning the operation and providing a good outcome.

The congenital cardiac surgeon should have the necessary skills in coronary artery bypass techniques.

With lack of adequate data, the estimation of mortality due to complications as a result of coronary damage in surgery for adult congenital cardiac disease of below 1% seems fair.