Creation of medially-based arterial flaps for coronary artery
translocation
A site on the pulmonary artery for the left and right coronary
anastomoses were chosen. This neoaortic location was higher than the
top of the sinus of valsalva, to avoid tension/kinking/waisting of the
coronary arteries and to avoid distortion of the aortic valve. Two
medially based pulmonary arterial flaps as described by Roger Mee were
created accordingly. The sites chosen allowed for rotation of the
mobilized coronary buttons through an angle not more than 30°. No
portion of the pulmonary arterial wall was excised.