Aortic Valve Replacement in Bicuspid Aortic Valve with a Single Coronary Artery

作     者：Masashi Kawabori 

作者机构：Division of Cardiac Surgery Brigham and Women’s Hospital Harvard Medical School Boston MA USA 

出 版 物：《World Journal of Cardiovascular Surgery》 (心血管外科国际期刊（英文）)

年 卷 期：2015年第5卷第12期

页      面：131-134页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Aortic Valve Stenosis Bicuspid Aortic Valve Coronary Angiography Coronary Vessels Heart Defects Congenital 

摘      要：Coronary artery anomalies combined with bicuspid aortic valve are rare but cause perioperative complications if not detected on time. Because anomalous coronary arteries vary with respect to the ostium’s origin and transverse route, the precise anatomy should be identified preoperatively and the procedure modified. We describe a severely stenotic bicuspid aortic valve and anomalous coronary artery corrected successfully with a modified valve replacement procedure, illustrating the importance of analyzing coronary anatomy preoperatively, regardless of age, to avoid occluding an anomalous artery’s ostium and to address the anomalies. We describe our modified procedure based on the artery’s location for a safe operation.