ABSTRACT
A 54-year-old left ventricular assist device (LVAD)-supported patient with mechanical prosthetic valves was planned for LVAD exchange using cardiac computed tomography(CCT) for preoperative evaluation. The CCT revealed massive thrombus in the ascending aorta. The surgery was done without thromboembolic complications. We reinforces the utility of CCT as a preoperative assessment in this specific case.
Subject(s)
Aortic Valve Stenosis/diagnosis , Aortic Valve Stenosis/etiology , Heart Valve Prosthesis/adverse effects , Heart-Assist Devices/adverse effects , Thrombosis/diagnosis , Thrombosis/etiology , Tomography, X-Ray Computed , Humans , Male , Middle Aged , UltrasonographyABSTRACT
Anomalous origin of coronary arteries is uncommon, and all 3 coronary arteries arising from a single sinus of Valsalva is very rare. The anomaly has been associated with myocardial infarction and sudden cardiac death in particular when the anomalous left coronary artery courses between the great vessels. Imaging modalities have a complementary role to angiography in the diagnosis. Percutaneous interventions are technically difficult. Surgical options like direct repair of anomalous artery or coronary artery bypass graft can be helpful. We report a case of a patient who presented with chest pain and was found to have all 3 coronary arteries arising from the right sinus of Valsalva.
