BACKGROUND: The success of arterial switch operations for @entity3886 largely depends on faultless coronary translocation and subsequent sufficient myocardial perfusion. However, in @entity1 with complex coronary artery anatomy, coronary translocation is often difficult to perform by conventional surgical techniques alone. Therefore we developed the "bay window" technique as a useful adjunct in @entity1 with complex coronary arteries undergoing concomitant coronary translocation and arterial switch operation. Early and midterm results of this technique are described. METHODS: Between September 2001 and February 2002, 4 @entity1 with @entity3886 with complex coronary arteries underwent arterial switch operation. The ages of the @entity1 at the time of operation ranged from 8 to 52 days. Great arterial relationships were anteroposterior in 2 @entity1 , right-oblique in 1, and side-by-side in 1. One @entity1 also had @entity1757 . Coronary arterial patterns were as follows: absent left main trunk in 1 @entity1 , short left main trunk in 1, and short right main trunk in 1. Both coronary arterial orifices were resected as a tall U-shaped cuff. The inferior half of the coronary cuff was sewn into a J-shaped incision on the @entity358 . The superior half of the coronary cuff was folded down inside to form a bay window channel. RESULTS: No coronary events occurred (ie, inclusive of @entity3979 , @entity583 , and @entity204 ). Postoperative echocardiogram demonstrated normal ventricular wall motions in all 4 @entity1 . CONCLUSIONS: The bay window technique is an innovative and simple surgical adjunct for translocating complex coronary arteries.

"Bay window" technique for the arterial switch operation of the XXXX with complex coronary arteries.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3886 :: ('MESH:D014188', 'Disease') :: ['transposition of the great arteries'] @entity1757 :: ('MESH:D006345', 'Disease') :: ['ventricular septal defect'] @entity3979 :: ('MESH:D023921', 'Disease') :: ['coronary stenosis'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary stump'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity204 :: ('MESH:D003643', 'Disease') :: ['coronary death']
@entity3886 :: (MESH:D014188,Disease) :: ['transposition of the great arteries']
