WJCS  Vol.5 No.12 , December 2015
Aortic Valve Replacement in Bicuspid Aortic Valve with a Single Coronary Artery
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.
Cite this paper: Kawabori, M. (2015) Aortic Valve Replacement in Bicuspid Aortic Valve with a Single Coronary Artery. World Journal of Cardiovascular Surgery, 5, 131-134. doi: 10.4236/wjcs.2015.512020.

[1]   Garg, N., Tewari, S., Kapoor, A., Gupta, D.K. and Sinha, N. (2000) Primary Congenital Anomalies of the Coronary Arteries: A Coronary: Arteriographic Study. International Journal of Cardiology, 74, 39-46.

[2]   Angelini, P. (2007) Coronary Artery Anomalies: An Entity in Search of an Identity. Circulation, 115, 1296-1305.

[3]   Lipton, M.J., Barry, W.H., Obrez, I., Silverman, J.F. and Wexler, L. (1979) Isolated Single Coronary Artery: Diagnosis, Angiographic Classification, and Clinical Significance. Radiology, 130, 39-47.

[4]   Ogden, J.A. and Goodyear, A.V. (1970) Patterns of Distribution of the Single Coronary Artery. Yale Journal of Biology and Medicine, 43, 11-21.

[5]   Vaishnava, P., Pyo, R., Filsoufi, F. and Sharma, S. (2011) Compression of an Anomalous Left Circumflex Artery after Aortic and Mitral Valve Replacement. The Annals of Thoracic Surgery, 92, 1887-1889.

[6]   Veinot, J.P., Acharya, V.C. and Bedard, P. (1998) Compression of Anomalous Circumflex Coronary Artery by a Prosthetic Valve Ring. The Annals of Thoracic Surgery, 66, 2093-2094.

[7]   Castillo, J.G., Sanz, J., Fischer, G.W., Bowman, K. and Filsoufi, F. (2009) Management of Anomalous Left Circumflex Artery Encircling the Aortic Annulus in a Patient Undergoing Multivalvular Surgery. Journal of Cardiac Surgery, 24, 667-669.

[8]   Yokoyama, S., Takagi, K., Mori, R. and Aoyagi, S. (2012) Aortic Valve Replacement in Patients with an Anomalous Left Circumflex Artery. Journal of Cardiac Surgery, 27, 174-177.