Anomalous origin of the right coronary artery from the pulmonary artery combined with aortic valve stenosis.
We report the case of a 41-year-old patient presenting with anomalous of origin of the right coronary artery from the pulmonary artery (ARCAPA) and severe aortic valve stenosis. Surgical correction was performed by partial (T-shaped) sternotomy. After replacing the bicuspid aortic valve, the right coronary artery ostium was directly reimplanted into the aortic root. The main pulmonary artery was reconstructed using an autologous pericardial patch. Postoperative recovery was uneventful. Four cases involving an association of the bicuspid aortic valve and ARCAPA have been reported in the literature. This potential relationship should be considered whenever diagnosing a bicuspid aortic valve.
Bossert
Torsten
T
Department of Cardiac Surgery, University of Leipzig Heart Center, Leipzig, Germany. tbossert11@aol.com
Walther
Thomas
T
Doll
Nicolas
N
Gummert
Jan F
JF
Kostelka
Martin
M
Mohr
Friedrich W
FW
D000015:Abnormalities, Multiple / Q000601:surgery*; D000328:Adult; D000714:Anastomosis, Surgical; D001011:Aorta / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D002114:Calcinosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D002404:Catheterization; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D010496:Pericardium / Q000637:transplantation; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D013249:Sternum / Q000601:surgery; D014182:Transplantation, Autologous; D016042:Transplantation, Heterotopic; D014463:Ultrasonography