TITLE:
Aortic Valve Replacement in Bicuspid Aortic Valve with a Single Coronary Artery
AUTHORS:
Masashi Kawabori
KEYWORDS:
Aortic Valve Stenosis, Bicuspid Aortic Valve, Coronary Angiography, Coronary Vessels, Heart Defects, Congenital
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.5 No.12,
December
14,
2015
ABSTRACT: Coronary artery anomalies combined with bicuspid aortic valve are rare but cause perioperative complications if not detected on time. Because anomalous coronary arteries vary with respect to the ostium’s origin and transverse route, the precise anatomy should be identified preoperatively and the procedure modified. We describe a severely stenotic bicuspid aortic valve and anomalous coronary artery corrected successfully with a modified valve replacement procedure, illustrating the importance of analyzing coronary anatomy preoperatively, regardless of age, to avoid occluding an anomalous artery’s ostium and to address the anomalies. We describe our modified procedure based on the artery’s location for a safe operation.