Successful surgical treatment of double-outlet right ventricle with intramural coronary artery, using the modified Aubert procedure--a case report

: The modified Aubert procedure and left ventricular outflow tract reconstruction were performed successfully for double-outleft right ventricle with subpulmonary ventricular septal defect, which showed an unusual Shaher type 5a coronary artery pattern. This pattern was characterized by two coronary ostia arising from the right septal sinus and intramural segment in a left trunk of the coronary artery. In this case, the neo-pulmonary artery was reconstructed without prosthetic materials. However, postoperative echocardiography showed no evident supravalvar pulmonary stenosis. The modified Aubert procedure without prosthetic marerids can be used for double-outlet right ventricle and transposition of the great arteries which show dilated prelimonary artery.