Aortic root replacement with absent left-main coronary artery: how to do it

Asian Cardiovasc Thorac Ann. 2015 Feb;23(2):209-11. doi: 10.1177/0218492313501680. Epub 2013 Oct 25.

Abstract

Aortic root replacement in patient with a coronary artery anomaly can be challenging. We describe aortic root replacement in a patient with annuloaortic ectasia and coarctation, who had an absent left main coronary artery. There were separate origins of the left anterior descending and left circumflex coronary arteries from the aorta. The technical modification employed in this case is discussed.

Keywords: Aorta; Aortic coarctation; Blood vessel prosthesis implantation; Cardiac surgical procedures; Coronary vessel anomalies; Incidental findings.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple*
  • Adult
  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / physiopathology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Coarctation / diagnosis
  • Aortic Coarctation / physiopathology
  • Aortic Coarctation / surgery*
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Insufficiency / physiopathology
  • Aortic Valve Insufficiency / surgery*
  • Blood Vessel Prosthesis Implantation / methods*
  • Coronary Vessel Anomalies / diagnosis*
  • Coronary Vessel Anomalies / physiopathology
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Male
  • Treatment Outcome

Supplementary concepts

  • Aortic Aneurysm, Familial Thoracic 1