The ascending aorta valve-sparing prosthetics with abnormal location of the coronary artery circumflex
https://doi.org/10.17802/2306-1278-2022-11-2-134-138
Abstract
Highlights. The combination of congenital aortic valve insufficiency and abnormal coronary artery discharge is rare. Taking into account the fact that coronary angiography is not indicated for young patients, there may be a risk of injury to the coronary artery during the correction of aortic malformation. The published case indicates the need for routine coronary angiography for all patients, regardless of their age, who are going to have aortic valve surgery.
Background. Anomalous origin from right sinus and pathway of circumflex coronary artery can complicate aortic valve and root procedures. Computed tomography scan with contrast and selective angiography help to recognize the malformation and protect circumflex artery. Herein we present the case of valve sparing root replacement in patient with bicuspid regurgitant aortic valve and anomalous origin of circumflex artery.
About the Authors
R. M. Muratov
Federal State Budgetary Institution “A.N. Bakulev National Medical Research Center for Cardiovascular Surgery”, the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Muratov Ravil M., PhD, Professor, Head of the Emergency surgery of acquired heart disease Department
135, Roublyevskoe Hwy., Moscow, 121552
D. A. Titov
Federal State Budgetary Institution “A.N. Bakulev National Medical Research Center for Cardiovascular Surgery”, the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Titov Dmitriy A., PhD, a researcher at the Emergency surgery of acquired heart disease Department
135, Roublyevskoe Hwy., Moscow, 121552
A. G. Khramchenkov
Federal State Budgetary Institution “A.N. Bakulev National Medical Research Center for Cardiovascular Surgery”, the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Khramchenkov Andrey G., a cardiovascular surgeon at the Emergency surgery of acquired heart defects Department
135, Roublyevskoe Hwy., Moscow, 121552
S. A. Aleksandrova
Federal State Budgetary Institution “A.N. Bakulev National Medical Research Center for Cardiovascular Surgery”, the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Aleksandrova Svetlana A., PhD, a senior researcher at the Radiation Diagnostics Department
135, Roublyevskoe Hwy., Moscow, 121552
References
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Review
For citations:
Muratov R.M., Titov D.A., Khramchenkov A.G., Aleksandrova S.A. The ascending aorta valve-sparing prosthetics with abnormal location of the coronary artery circumflex. Complex Issues of Cardiovascular Diseases. 2022;11(2):134-138. (In Russ.) https://doi.org/10.17802/2306-1278-2022-11-2-134-138
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