Surgical Pearls of the Transconal Unroofing Procedure-Modifications and Midterm Outcomes.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 35490772.
- Also identified by DOI 10.1016/j.athoracsur.2022.04.027.
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Abstract
We have previously described our novel surgical technique in addressing the anomalous aortic origin of the left coronary artery with a transseptal course behind the right ventricular outflow tract. By means of the Najm procedure, we performed complete unroofing of the transseptal anomalous aortic origin of the left coronary artery and elongated the right ventricular outflow tract posteriorly using an autologous pericardial patch. This report documents modifications to address challenging anatomic variants and highlights the importance of managing septal arteries and myocardial bridges. We also describe the excellent midterm outcomes of 14 patients who have undergone the Najm procedure.
Medical subject headings
- Cardiac Surgical Procedures
- Coronary Vessel Anomalies