title: Aortic valve/root procedures in patients with an anomalous left circumflex coronary artery and a bicuspid aortic valve: anatomical and technical implications.
abstract: An anomalous origin of the left circumflex coronary artery that arises as a side branch of the right coronary artery from the right coronary sinus of Valsalva encircling the aortic annulus is usually an incidental finding. However, in patients undergoing aortic valve procedures, its existence can significantly complicate the surgical treatment. We report our operative strategy in patients with an anomalous left circumflex coronary artery, a bicuspid aortic valve morphology and different aortic valve pathologies.
authors.affiliation: Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany Department of Congenital Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany markus.liebrich@sana.de markus.liebrich@gmx.net.
authors.forename: Markus
authors.initials: M
authors.lastname: Liebrich
authors.affiliation: Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany Department of Congenital Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Tzanavaros
authors.affiliation: Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany Department of Congenital Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Scheid
authors.affiliation: Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany.
authors.forename: Wladimir
authors.initials: W
authors.lastname: Voth
authors.affiliation: Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany.
authors.forename: Kai-Nicolas
authors.initials: KN
authors.lastname: Doll
authors.affiliation: Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart, Stuttgart, Germany.
authors.forename: Wolfgang B
authors.initials: WB
authors.lastname: Hemmer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001021:Aortic Valve / Q000002:abnormalities* / Q000473:pathology* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D000082882:Bicuspid Aortic Valve Disease; D001705:Bioprosthesis; D019917:Blood Vessel Prosthesis Implantation; D002114:Calcinosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Anomalous circumflex coronary artery; Aortic root remodelling; Aortic valve replacement; Bicuspid aortic valve