Aortic regurgitation with dilation of ascending aorta and right coronary artery occlusion by a rudimentary aortic cusp

• Published in: The Annals of thoracic surgery Vol. 72; no. 3; pp. 919 - 921
• Main Authors: Washiyama, Naoki, Kazui, Teruhisa, Takinami, Makoto, Yamashita, Katsushi, Terada, Hitoshi, Suzuki, Kazuchika, Muhammad, Bashar A.H
• Format: Journal Article Conference Proceeding
• Language: English
• Published: New York, NY Elsevier Inc 01.09.2001; Elsevier Science
• Subjects: Adult; Aorta - abnormalities; Aorta - pathology; Aorta - surgery; Aortic Valve - surgery; Aortic Valve Insufficiency - complications; Aortic Valve Insufficiency - surgery; Biological and medical sciences; Blood Vessel Prosthesis Implantation; Cardiology. Vascular system; Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava; Coronary Vessel Anomalies - complications; Coronary Vessel Anomalies - surgery; Dilatation, Pathologic; Heart; Heart Valve Prosthesis Implantation; Humans; Male; Medical sciences; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Human; Ascending aorta; Composite graft; Occlusion; Prognosis; Cardiovascular disease; Male; Coronary heart disease; Congenital disease; Arterial disease; Vascular disease; Case study; Plasty; Right coronary artery; Concomitant disease; Treatment; Cardiac valvular disease; Malformation; Dilatation; Surgery; Young adult; Regurgitation; Aortic valve; Aortic disease
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/S0003-4975(00)02480-2

Occlusion of a coronary artery ostium, especially that of the right by an aortic cusp, is a rare congenital anomaly. We had the experience of dealing with an adult patient with aortic regurgitation due to a rudimentary aortic cusp that also occluded the right coronary ostium. We performed composite graft replacement because the patient also had coexistent dilation of the ascending aorta. Postoperative course was uneventful.