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Journal of Cardiothoracic Surgery

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Open Access 01-12-2024 | Aortic Valve Stenosis | Case Report

A Y-incision to enlarge the aortic root for aortic valve stenosis with anomalous aortic origin of the right coronary artery

Authors: Keisuke Yoshida, Yujiro Miura, Yukiko Fukunaga, Atsuyuki Mitsuishi

Published in: Journal of Cardiothoracic Surgery | Issue 1/2024

Abstract

Background

Anomalous aortic origin of the coronary artery (AAOCA) is a rare congenital heart disease. Therefore, optimal indications for surgery in patients with severe aortic valve stenosis (AS) complicated by AAOCA remain uncertain.

Case presentation

We report the case of a 57-year-old male patient who underwent aortic valve replacement (AVR) and aortic root enlargement using a Y-incision procedure for severe AS with an anomalous aortic origin of the right coronary artery (AAORCA). Since preoperative single-photon emission computed tomography revealed no ischaemic lesions, an aortic root enlargement with a Y-incision was performed to prevent the potential compression of the prosthetic valve on the AAOCA and prosthesis-patient mismatch.

Conclusions

Preoperative evaluation of the coronary anatomy and myocardial ischaemia using advanced imaging modalities and aortic root enlargement with the Y-incision procedure is an effective strategy for preventing ischaemic complications in cases of severe AS with AAORCA.

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Title: A Y-incision to enlarge the aortic root for aortic valve stenosis with anomalous aortic origin of the right coronary artery
Authors: Keisuke Yoshida
Yujiro Miura
Yukiko Fukunaga
Atsuyuki Mitsuishi
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Aortic Valve Stenosis
Aortic Valve Replacement
Aortic Valve Replacement
Aortic Valve Replacement
Incision
Published in: Journal of Cardiothoracic Surgery / Issue 1/2024
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-024-02518-z

At a glance: The STEP trials

Springer Medicine

A Y-incision to enlarge the aortic root for aortic valve stenosis with anomalous aortic origin of the right coronary artery

Abstract

Background

Case presentation

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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