title: Sutureless Aortic Valve Replacement: An Easy and Safe Approach for Patients with Anomalous Left Circumflex Coronary Artery.
abstract: An anomalous origin of the left circumflex coronary artery (LCx) from the right sinus of Valsalva is a frequent coronary problem. This particular condition, though usually silent, is associated with an increased incidence of serious complications during surgical aortic valve replacement (AVR) and transcatheter aortic valve implantation. Here, the cases are described of four patients with an anomalous origin of the LCx from the right sinus of Valsalva who underwent sutureless AVR with the Sorin Perceval S prosthesis. The possible advantages of this approach are also discussed.
authors.affiliation: Operative Unit of Cardiac Surgery, G. Pasquinucci Heart Hospital, Fondazione Toscana G. Monasterio, Massa, Italy.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Giuseppe Cerillo
authors.affiliation: Operative Unit of Anaesthesiology, G. Pasquinucci Heart Hospital, Fondazione Toscana G. Monasterio, Massa, Italy.
authors.forename: Dorela
authors.initials: D
authors.lastname: Haxhiademi
authors.affiliation: Operative Unit of Cardiology, G. Pasquinucci Heart Hospital, Fondazione Toscana G. Monasterio, Massa, Italy.
authors.forename: Sergio
authors.initials: S
authors.lastname: Berti
authors.affiliation: Operative Unit of Cardiac Surgery, G. Pasquinucci Heart Hospital, Fondazione Toscana G. Monasterio, Massa, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Solinas
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D000072226:Computed Tomography Angiography; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012850:Sinus of Valsalva / Q000002:abnormalities* / Q000000981:diagnostic imaging; D000071062:Sutureless Surgical Procedures; D065467:Transcatheter Aortic Valve Replacement / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome