Bertin Murielle, Aboukofa Mohamed, Laterre Pierre Francois, Yousif Zuhair
Department of Anaesthesia, Mediclinic City Hospital, Dubai Health Care City, Building 37, Dubai, UAE.
Intensive Care Department, Saint Luc University Hospital, UCL, Avenue Hippocrate 10, 1200 Brussels, Belgium.
Case Rep Cardiol. 2020 Jan 24;2020:2569506. doi: 10.1155/2020/2569506. eCollection 2020.
A single coronary artery is a rare congenital abnormality which consists of one coronary artery arising from the aortic trunk by a single coronary ostium and providing the perfusion of the entire myocardium. Its prevalence is approximately 0.024-0.066% of the population undergoing coronary angiography. A bicuspid aortic valve is the most common congenital cardiac abnormality and is found in 0.4-2.25% of the population. The coexistence of these two abnormalities together with severe aortic stenosis is extremely rarer. We report a patient who underwent transcatheter aortic valve implantation (TAVI) with a single coronary artery and a bicuspid valve. The procedure was successful, and the patient was discharged home without complication. To the best of our knowledge, this is the first report of these combined abnormalities and TAVI.
单冠状动脉是一种罕见的先天性异常，它由一条冠状动脉通过单一冠状动脉口从主动脉干发出，并为整个心肌提供灌注。其在接受冠状动脉造影的人群中的患病率约为0.024 - 0.066%。二叶式主动脉瓣是最常见的先天性心脏异常，在人群中的发生率为0.4 - 2.25%。这两种异常与严重主动脉瓣狭窄同时存在极为罕见。我们报告了一名患有单冠状动脉和二叶式瓣膜并接受经导管主动脉瓣植入术（TAVI）的患者。手术成功，患者出院时无并发症。据我们所知，这是关于这些合并异常和TAVI的首例报告。
