Cosmetic Surgery Research Today is a free monthly online journal that collates and summarizes the latest research about Cosmetic Surgery, including details on microsurgery, reconstruction, techniques, risks.

Direct microvascular repair of an infant's transected coronary artery: case report.

Muzaffar AR, Ploplys EA, Stevenson JG, Cohen G, Permut LC

Division of Craniofacial, Plastic and Reconstructive Surgery, Children's Hospital and Regional Medical Center, Seattle, Washington 98115, USA.

The authors report the direct, microvascular repair of a right coronary artery transected during reoperation fOr complications of arterial switch operation (ASO) in a 3 month-old child. This is the first documented use of direct microsurgical anastamosis in the repair of an infant's transected coronary artery. Deviation from standard coronary bypass graft repair was permitted by vessel characteristics, as well as close collaboration between plastic surgery and cardiac surgery services. Patency of repair was confirmed intraoperatively with Doppler ultrasound and through postoperative echocardiograms documenting stable right ventricular function. This case highlights the benefit of a multidisciplinary approach to an emergent clinical problem using microsurgical techniques.

Published 18 November 2005 in J Reconstr Microsurg, 21(8): 547-9.
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