"Killer coronary artery" and aortic valve stenosis: A tricky case.
Anomalous origin of the left main coronary artery from the right coronary sinus is rarely diagnosed in elderly patients. We report such an anomaly in a 75-year-old lady presenting with chest pain and syncope. Preoperative screening revealed that her aortic valve was moderately stenotic. The patient underwent a successful unroofing procedure combined with aortic valve replacement. The outcome was uncomplicated and the patient remained asymptomatic at one year postoperatively.
Department of Cardiac Surgery, Amiens Picardy University Hospital, Amiens, France nader_joe@hotmail.com.
Joseph
J
Nader
Department of Cardiac Surgery, Amiens Picardy University Hospital, Amiens, France.
Béatris Alina
BA
Labont
Department of Cardiology, Saint Quentin Hospital, Saint-Quentin, France.
David
D
Houpe
Department of Cardiac Surgery, Amiens Picardy University Hospital, Amiens, France.
Thierry
T
Caus
D000368:Aged; D001021:Aortic Valve / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D001027:Aortography / Q000379:methods; D002114:Calcinosis / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D002637:Chest Pain / Q000209:etiology; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D012850:Sinus of Valsalva / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D013575:Syncope / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Aortic valve stenosis; Coronary vessel anomalies; Heart valve prosthesis implantation; Sinus of Valsalva