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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 12/2016

01-12-2016 | Case Report

Aortic root replacement for annuloaortic ectasia with a single coronary artery

Authors: Mitsutaka Nakao, Yujirou Kawai, Hirokazu Niitsu, Yasuyuki Toyoda, Yasutoshi Tsuda, Kazuaki Shiratori, Takahiro Takemura, Ko Bando, Kazuhiro Hashimoto

Published in: General Thoracic and Cardiovascular Surgery | Issue 12/2016

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Abstract

A single coronary artery, arising from the left sinus of Valsalva, associated with a bicuspid aortic valve and annuloaortic ectasia, is very rare. We report on a surgical case of bicuspid aortic valve regurgitation, annuloaortic ectasia, and dilation of the ascending aorta to the aortic arch in a patient with a single coronary artery. We successfully performed aortic root replacement with reimplantation of the single coronary artery and total arch replacement. The reimplantation of the coronary orifice required particular attention. Postoperative CT demonstrated the expected contours from the aortic annulus to the aortic arch with a patent implanted coronary artery.
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Metadata
Title
Aortic root replacement for annuloaortic ectasia with a single coronary artery
Authors
Mitsutaka Nakao
Yujirou Kawai
Hirokazu Niitsu
Yasuyuki Toyoda
Yasutoshi Tsuda
Kazuaki Shiratori
Takahiro Takemura
Ko Bando
Kazuhiro Hashimoto
Publication date
01-12-2016
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 12/2016
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-015-0557-4

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