The Anomalous Coronary Artery in Aortic Valve Replacement: A Case For Caution

Patrick T. Roughneen; Ghannam A. Al-Dossari

doi:10.1016/j.athoracsur.2016.01.020

The Anomalous Coronary Artery in Aortic Valve Replacement: A Case For Caution

Patrick T. Roughneen, Ghannam A. Al-Dossari

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

We report obstruction of an anomalous right coronary artery traversing between the pulmonary artery and aorta after placement of a 21-mm bovine bioprosthesis for critical aortic stenosis requiring emergency revascularization. Although this anomaly has been associated with sudden death syndrome, acute coronary ischemia resulting from aortic valve replacement in patients with anomalous coronary artery has not been sufficiently highlighted in the literature. Awareness of this issue may decrease the risk of this complication in patients with anomalous coronary anatomy undergoing aortic or pulmonary valve replacement. Furthermore, the need for careful preoperative imaging in patients undergoing semilunar valve replacement is essential.

Original language	English (US)
Pages (from-to)	e113-e115
Journal	Annals of Thoracic Surgery
Volume	102
Issue number	2
DOIs	https://doi.org/10.1016/j.athoracsur.2016.01.020
State	Published - Aug 1 2016
Externally published	Yes

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

Access to Document

10.1016/j.athoracsur.2016.01.020

Cite this

@article{bd6cd26269904ed19b54296a1989f6b2,

title = "The Anomalous Coronary Artery in Aortic Valve Replacement: A Case For Caution",

abstract = "We report obstruction of an anomalous right coronary artery traversing between the pulmonary artery and aorta after placement of a 21-mm bovine bioprosthesis for critical aortic stenosis requiring emergency revascularization. Although this anomaly has been associated with sudden death syndrome, acute coronary ischemia resulting from aortic valve replacement in patients with anomalous coronary artery has not been sufficiently highlighted in the literature. Awareness of this issue may decrease the risk of this complication in patients with anomalous coronary anatomy undergoing aortic or pulmonary valve replacement. Furthermore, the need for careful preoperative imaging in patients undergoing semilunar valve replacement is essential.",

author = "Roughneen, {Patrick T.} and Al-Dossari, {Ghannam A.}",

note = "Publisher Copyright: {\textcopyright} 2016 The Society of Thoracic Surgeons",

year = "2016",

month = aug,

day = "1",

doi = "10.1016/j.athoracsur.2016.01.020",

language = "English (US)",

volume = "102",

pages = "e113--e115",

journal = "Annals of Thoracic Surgery",

issn = "0003-4975",

publisher = "Elsevier Inc.",

number = "2",

}

TY - JOUR

T1 - The Anomalous Coronary Artery in Aortic Valve Replacement

T2 - A Case For Caution

AU - Roughneen, Patrick T.

AU - Al-Dossari, Ghannam A.

PY - 2016/8/1

Y1 - 2016/8/1

N2 - We report obstruction of an anomalous right coronary artery traversing between the pulmonary artery and aorta after placement of a 21-mm bovine bioprosthesis for critical aortic stenosis requiring emergency revascularization. Although this anomaly has been associated with sudden death syndrome, acute coronary ischemia resulting from aortic valve replacement in patients with anomalous coronary artery has not been sufficiently highlighted in the literature. Awareness of this issue may decrease the risk of this complication in patients with anomalous coronary anatomy undergoing aortic or pulmonary valve replacement. Furthermore, the need for careful preoperative imaging in patients undergoing semilunar valve replacement is essential.

AB - We report obstruction of an anomalous right coronary artery traversing between the pulmonary artery and aorta after placement of a 21-mm bovine bioprosthesis for critical aortic stenosis requiring emergency revascularization. Although this anomaly has been associated with sudden death syndrome, acute coronary ischemia resulting from aortic valve replacement in patients with anomalous coronary artery has not been sufficiently highlighted in the literature. Awareness of this issue may decrease the risk of this complication in patients with anomalous coronary anatomy undergoing aortic or pulmonary valve replacement. Furthermore, the need for careful preoperative imaging in patients undergoing semilunar valve replacement is essential.

UR - http://www.scopus.com/inward/record.url?scp=84990177090&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84990177090&partnerID=8YFLogxK

U2 - 10.1016/j.athoracsur.2016.01.020

DO - 10.1016/j.athoracsur.2016.01.020

M3 - Article

C2 - 27449442

AN - SCOPUS:84990177090

SN - 0003-4975

VL - 102

SP - e113-e115

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

IS - 2

ER -

The Anomalous Coronary Artery in Aortic Valve Replacement: A Case For Caution

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this