Occlusion of left coronary artery ostium by an aortic valve cusp

• Published in: The Annals of thoracic surgery Vol. 69; no. 2; pp. 637 - 639
• Main Authors: Kalimi, Robert, Palazzo, Robert S, Graver, L.Michael
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-02-2000; Elsevier Science
• Subjects: Adult; Aortic Valve - abnormalities; Biological and medical sciences; Cardiopulmonary Bypass; Collateral Circulation; Coronary Circulation; Coronary Vessel Anomalies - surgery; Female; Humans; Medical sciences; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Human; Occlusion; Radiodiagnosis; Etiopathogenesis; Cardiovascular disease; Left coronary artery; Replacement; Aortic regurgitation; Coronary heart disease; Congenital disease; Arterial disease; Case study; Treatment; Aortocoronary; Cardiac valvular disease; Bypass; Malformation; Surgery; Adult; Arteriography; Technique; Aortic valve
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/S0003-4975(99)01392-2

Congenital anomalies of the aortic valve can be associated with other cardiac anomalies. In this report, we present a patient with an aortic valve anomaly associated with occlusion of left coronary ostia. In addition, we reviewed the literature and found 10 similar cases. Although compatible with life, this anomaly can lead to significant symptoms. Preoperative diagnosis as well as proper therapeutic planning should be tailored to correct valvular competence and restore coronary blood flow.