Modified aortic root remodeling for annuloaortic ectasia with abnormal coronary take-off.
The abnormality of coronary arterial take-off is a limiting factor for a successful aortic valve sparing procedure. We present a 13-year-old boy, with Marfan syndrome and annuloaortic ectasia, whose coronary take-off was found to be abnormal during surgery. Two adjacent coronary orifices were located in the left coronary sinus and very close to the right-left commissure. A modified aortic remodeling procedure was successfully performed without translocation of the coronary artery.
Matsuda
Hikaru
H
Department of Surgery, Osaka University, Suita, Japan. matsuda@surgl.med.osaka-u.ac.jp
Ichikawa
Hajime
H
Iwai
Shigemitsu
S
Takahashi
Toshiki
T
D000293:Adolescent; D001014:Aortic Aneurysm / Q000235:genetics / Q000601:surgery*; D001021:Aortic Valve / Q000002:abnormalities / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000235:genetics / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003330:Coronary Vessel Anomalies / Q000235:genetics / Q000601:surgery*; D004108:Dilatation, Pathologic; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000235:genetics / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D013536:Suture Techniques