Aortic Valve Replacement and Concomitant Coronary Artery Bypass Grafting in a Patient with Infective Endocarditis and Anomalous Origin of the Right Coronary Artery from the Opposite Sinus of Valsalva

Sachi Koyama; Keiichi Itatani; Shunei Kyo; Rie Aoyama; Yusuke Tubokou; Hajime Fujimoto; Kazumasa Harada

doi:10.5761/atcs.cr.12.01901

This article has now been updated. Please use the final version.

Aortic Valve Replacement and Concomitant Coronary Artery Bypass Grafting in a Patient with Infective Endocarditis and Anomalous Origin of the Right Coronary Artery from the Opposite Sinus of Valsalva

Sachi Koyama, Keiichi Itatani, Shunei Kyo, Rie Aoyama, Yusuke Tubokou, Hajime Fujimoto, Kazumasa Harada

Author information

Sachi Koyama
Department of Cardiac Surgery, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
Department of Cardiac Surgery, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Keiichi Itatani
Department of Cardiac Surgery, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
Department of Cardiac Surgery, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Shunei Kyo
Department of Cardiac Surgery, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
Department of Cardiac Surgery, The Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Rie Aoyama
Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
Yusuke Tubokou
Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
Hajime Fujimoto
Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
Kazumasa Harada
Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan

Keywords: anomalous origin of a coronary artery from the opposite sinus (ACAOS) , interarterial course, infective endocarditis, coronary artery bypass grafting

JOURNAL OPEN ACCESS Advance online publication

Article ID: cr.12.01901

DOI https://doi.org/10.5761/atcs.cr.12.01901

The final version of this article is now available: Vol. 19 (2013), No. 5 pp. 386-389

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Abstract

A 69-yrs-old woman with anomalous origin of the right coronary artery from the opposite sinus of Valsalva (ACAOS) was diagnosed as having infective endocarditis affecting the aortic valve. Transthoracic echocardiography showed severe aortic stenosis and vegetations on the cusp of the aortic valve, which necessitated aortic valve replacement. Before the operation, computed tomography showed a right-ACAOS, with the artery running an interarterial course between the aorta and pulmonary artery. ACAOS running an interarterial course has been reported to be associated with an increased risk of ischemic cardiac events and sudden death. The patient was treated successfully by the aortic valve replacement with concurrent coronary artery bypass grafting using a saphenous vein graft for the right coronary artery.

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