title: Single coronary artery with bicuspid aortic valve stenosis and aneurysm of the ascending aorta: report of a case.
abstract: A 73-year-old man with a severely stenosed bicuspid valve and an aneurysm of the ascending aorta underwent valve and aortic surgery. Preoperative imaging revealed a single coronary artery arising from the right side of the sinus of Valsalva and a branch that perfused into the left side of the heart to pass through the front of the pulmonary artery. We replaced the aortic valve and ascending aorta, painstakingly avoiding damage to the coronary artery and obstruction of the sole coronary ostium.
authors.affiliation: Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu City, Gifu, 501-1194, Japan, Alpineskierjp@aol.com.
authors.forename: Narihiro
authors.initials: N
authors.lastname: Ishida
authors.forename: Katsuya
authors.initials: K
authors.lastname: Shimabukuro
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Matsuno
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ogura
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Takemura
mesh_terms: D000368:Aged; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D000082882:Bicuspid Aortic Valve Disease; D019917:Blood Vessel Prosthesis Implantation; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis; D017548:Echocardiography, Transesophageal; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva; D014057:Tomography, X-Ray Computed