Key result
A unified nomenclature for classifying coronary arterial patterns in complete transposition is proposed, incorporating sinus configuration, location, orifice configuration, branching, and course.
A unified nomenclature for coronary arterial patterns in complete transposition is proposed to standardize communication and facilitate surgical planning for the arterial switch operation.
May aid communication for arterial switch planning; leaves open prospective validation before adoption.
The arterial switch operation has become the standard of surgical repair for total correction of complete transposition (concordant atrioventricular and discordant ventriculoarterial connections). A standard nomenclature for classification of the numerous anatomic relationships the coronary arteries may assume, however, has yet to be universally adopted. Inconsistent use of varied nomenclatures remain an obstacle to effective communication between physicians and surgeons. In this review we offer a unified nomenclature incorporating five important relationships: the configuration of the sinuses; their location; the configuration of the arterial orifices; the pattern of branching of the major coronary arteries; and the course of each artery.
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Amato et al. (1994) conducted a review in Complete transposition of the great arteries. Amato classification of coronary arterial patterns was evaluated. A unified nomenclature for classifying coronary arterial patterns in complete transposition is proposed, incorporating sinus configuration, location, orifice configuration, branching, and course.
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