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Right Coronary Artery Translocation in Tetralogy of Fallot

Department of Cardiothoracic Surgery, Xiang Ya Hospital, Central South University, Changsha, China

For reprint information contact: Wan-Jun Luo, MD, Tel: 86 731 432 7247, Fax: 86 731 431 0800, Email: luowanjun{at}yahoo.com, Department of Cardiothoracic Surgery, Xiang Ya Hospital, Central South University, Changsha 410008, Hunan, China.

We describe a simple and cost-effective technique to repair anomalous origin of the right coronary artery from the left coronary artery in tetralogy of Fallot. The proximal right coronary artery is re-implanted into the aorta after it is mobilized and transected. This technique avoids the use of conduits in infants or adults with tetralogy of Fallot and anomalous right coronary arteries, and maintains the growth potential of the translocated native coronary artery.