The Anomalous Coronary Artery in Aortic Valve Replacement

A Case For Caution

Patrick Roughneen, Ghannam Al-Dossari

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)e113-e115
JournalAnnals of Thoracic Surgery
Volume102
Issue number2
DOIs
StatePublished - Aug 1 2016

Fingerprint

Aortic Valve
Coronary Vessels
Bioprosthesis
Pulmonary Valve
Aortic Valve Stenosis
Acute Coronary Syndrome
Sudden Death
Pulmonary Artery
Aorta
Anatomy
Emergencies
Ischemia

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

The Anomalous Coronary Artery in Aortic Valve Replacement : A Case For Caution. / Roughneen, Patrick; Al-Dossari, Ghannam.

In: Annals of Thoracic Surgery, Vol. 102, No. 2, 01.08.2016, p. e113-e115.

Research output: Contribution to journalArticle

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