The preferred current techniques for the usual patterns
- Coronary reimplantation following neoaortic reconstruction:This was the original approach used by Jatene and
associates,31 and subsequently advocated during the
1980s (Figure 4A).32,E1
- The Melbourne medial flap technique: This technique transfers
the coronary arterial buttons to medially hinged neoaortic trapdoors
(Figure 4B).33 The technical details of anatomical
correction of transposition with usual coronary arrangement and Dacron
patch closure of ventricular septal defect have been enumerated in the
video presentation (Electronic Video 1). The coronaries were
transferred to the neoaorta using the medially hinged neoaortic
trapdoor.
- Modified trapdoor technique: In this modification, two buttons
are created, each adopting the role of the trapdoor flap for the other
button.34