Aortic regurgitation with dilation of ascending aorta and right coronary artery occlusion by a rudimentary aortic cusp.
Occlusion of a coronary artery ostium, especially that of the right by an aortic cusp, is a rare congenital anomaly. We had the experience of dealing with an adult patient with aortic regurgitation due to a rudimentary aortic cusp that also occluded the right coronary ostium. We performed composite graft replacement because the patient also had coexistent dilation of the ascending aorta. Postoperative course was uneventful.
Washiyama
N
N
First Department of Surgery, Hamamatsu University School of Medicine, Japan. nwashi@akiha.hama-med.ac.jp
Kazui
T
T
Takinami
M
M
Yamashita
K
K
Terada
H
H
Suzuki
K
K
Muhammad
B A
BA
D000328:Adult; D001011:Aorta / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000601:surgery; D004108:Dilatation, Pathologic; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male