"Killer coronary artery" and aortic valve stenosis: A tricky case.

Nader, Joseph; Labont, Béatris Alina; Houpe, David; Caus, Thierry

Nader, Joseph; Labont, Béatris Alina; Houpe, David; Caus, Thierry.

Affiliation

Nader J; Department of Cardiac Surgery, Amiens Picardy University Hospital, Amiens, France nader_joe@hotmail.com.
Labont BA; Department of Cardiac Surgery, Amiens Picardy University Hospital, Amiens, France.
Houpe D; Department of Cardiology, Saint Quentin Hospital, Saint-Quentin, France.
Caus T; Department of Cardiac Surgery, Amiens Picardy University Hospital, Amiens, France.

Asian Cardiovasc Thorac Ann ; 23(9): 1079-82, 2015 Nov.

Article in En | MEDLINE | ID: mdl-24787552

ABSTRACT

Anomalous origin of the left main coronary artery from the right coronary sinus is rarely diagnosed in elderly patients. We report such an anomaly in a 75-year-old lady presenting with chest pain and syncope. Preoperative screening revealed that her aortic valve was moderately stenotic. The patient underwent a successful unroofing procedure combined with aortic valve replacement. The outcome was uncomplicated and the patient remained asymptomatic at one year postoperatively.

Subject(s)

Aortic Valve Stenosis/complications; Aortic Valve/pathology; Calcinosis/complications; Coronary Vessel Anomalies/complications; Sinus of Valsalva/abnormalities; Aged; Aortic Valve/physiopathology; Aortic Valve/surgery; Aortic Valve Stenosis/diagnosis; Aortic Valve Stenosis/physiopathology; Aortic Valve Stenosis/surgery; Aortography/methods; Calcinosis/diagnosis; Calcinosis/physiopathology; Calcinosis/surgery; Chest Pain/etiology; Coronary Angiography/methods; Coronary Vessel Anomalies/diagnosis; Coronary Vessel Anomalies/surgery; Female; Heart Valve Prosthesis Implantation; Humans; Sinus of Valsalva/diagnostic imaging; Sinus of Valsalva/surgery; Syncope/etiology; Tomography, X-Ray Computed; Treatment Outcome

Key words

Aortic valve stenosis; Coronary vessel anomalies; Heart valve prosthesis implantation; Sinus of Valsalva

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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Aortic Valve / Aortic Valve Stenosis / Sinus of Valsalva / Calcinosis / Coronary Vessel Anomalies Type of study: Diagnostic_studies / Etiology_studies Limits: Aged / Female / Humans Language: En Journal: Asian Cardiovasc Thorac Ann Journal subject: ANGIOLOGIA / CARDIOLOGIA Year: 2015 Document type: Article Affiliation country: France Country of publication: United kingdom

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