Aortic valve replacement in a patient with an aberrant left coronary artery.
A 22-year-old male undergoing aortic valve replacement was found to have the left coronary ostium arising from the noncoronary cusp area in close proximity to the annulus. He could not be weaned off cardiopulmonary bypass after the operation, even after removal of a Teflon pledget thought to obstruct the left coronary ostium. He underwent bypass grafting to the left coronary system and was then easily weaned off cardiopulmonary bypass.
Alsaddique
Ahmed A
AA
Division of Cardiac Surgery, College of Medicine and King Khalid University Hospital, PO Box 7805, Riyadh 11472, Saudi Arabia. alsadd@ksu.edu.sa
Elsaegh
Mohammed M
MM
Fouda
Mohammed A
MA
D000328:Adult; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D012214:Rheumatic Heart Disease / Q000150:complications / Q000601:surgery