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Posterior root enlargement for aortic valve replacement associated with unexpected anomalous right coronary artery.

作者信息

Inan Kaan, Ucak Alper, Onan Burak, Tamtekin Burak, Temizkan Veysel, Yilmaz Ahmet Turan

机构信息

Department of Cardiovascular Surgery, GATA Haydarpasa Education Hospital, Istanbul, Turkey.

出版信息

J Card Surg. 2010 Jan-Feb;25(1):92-5. doi: 10.1111/j.1540-8191.2009.00952.x. Epub 2009 Nov 11.

DOI:10.1111/j.1540-8191.2009.00952.x
PMID:19912435
Abstract

Anomalous right coronary artery (ARCA) generally follows a course between the aorta and pulmonary artery. When ARCA follows a course posterolateral to the aortic root behind the noncoronary sinus of Valsalva, the vessel can be at risk of injury during posterior aortic root enlargement. We present the case of a 21-year-old man with congenital aortic stenosis and small aortic root, who had an intraoperative diagnosis of ARCA. After posterior root enlargement through the noncoronary sinus, ARCA was mobilized from the aortic root and reimplanted into the right coronary sinus. Postoperative follow-up of the patient was uneventful.

摘要

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