Bicuspid aortic valve and anomalous right coronary artery from the opposite coronary sinus

2021 ◽  
pp. 1-3
Author(s):  
Giuliano Giusti ◽  
Mariantonia Villano ◽  
Marco Pozzi
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Right Coronary Artery ◽  
Anomalous Coronary Artery ◽  
Sinus Of Valsalva ◽  
Intravascular Ultrasonography ◽  
Large Observational Study ◽  
The Right ◽  
Anomalous Coronary

Abstract We report on a patient with bicuspid aortic valve and anomalous right coronary artery from the opposite sinus without evidence of intramural course. Different authors support the universal presence of intramural course in patients with origin of the right coronary artery from the opposite sinus of Valsalva in normal heart. The occurrence of both bicuspid aortic valve and the absence of intramural course may not be accidental. This might suggest a developmental interaction between bicuspid aortic valve and anomalous coronary artery. Large observational study including characterisation by intravascular ultrasonography in patients with bicuspid aortic valve and anomalous coronary is needed.

MDCT of the anomalous origin of the right coronary artery from the left sinus of Valsalva associated with bicuspid aortic valve

2010 ◽  
Vol 143 (3) ◽  
pp. e45-e47 ◽  
Author(s):  
Mamoru Ayusawa ◽  
Yuichi Sato ◽  
Hiroshi Kanamaru ◽  
Taeko Kunimasa ◽  
Naokata Sumitomo ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Right Coronary Artery ◽  
Anomalous Origin ◽  
Sinus Of Valsalva ◽  
The Right ◽  
Left Sinus Of Valsalva

scholarly journals Anomalous coronary artery origin from the opposite sinus in patients with bicuspid aortic valve: comparison with tricuspid aortic valve

Open Heart ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. e001567
Author(s):  
Saarwaani Vallabhajosyula ◽  
Margaret Fuchs ◽  
Li-Tan Yang ◽  
Jose Medina Inojosa ◽  
Tanya H Tajouri ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Anomalous Coronary Artery ◽  
Circumflex Artery ◽  
Left Circumflex Artery ◽  
Tricuspid Aortic Valve ◽  
Potentially Malignant ◽  
The Right ◽  
Anomalous Coronary

ObjectiveTo compare the prevalence and patterns of anomalous coronary artery origin from the opposite sinus (ACAOS) in patients with bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV).MethodsRetrospective review of consecutive patients with surgically excised BAV and TAV was performed from 1994 to 2015. Clinical notes, echocardiograms, coronary angiograms, CT angiographies, and pathology reports were reviewed. ACAOS included right coronary artery from the left cusp, left circumflex artery from the right cusp and left main or left anterior descending artery from the right cusp.Results2371 (years 1994–2015) and 1679 (years 2009–2015) consecutive patients with pathology-confirmed BAV and TAV, respectively, and defined preoperative coronary anatomy were identified. A left dominant coronary circulation was present in 386 (18%) patients with BAV and 179 (11%) patients with TAV (p<0.001). ACAOS was identified in 43 (1.8%) patients with BAV and 15 (0.9%) patients with TAV, p=0.02. Among patients with BAV and ACAOS, the most common phenotype was right-left fusion (n=34, 79%) with present raphe (n=36, 84%), with no association between BAV phenotype and ACAOS type. On multivariate analysis, BAV status and size of the mid-ascending aorta were independently associated with ACAOS (OR 3.29; CI 1.26 to 8.6; p=0.02; OR 0.93; CI 0.87 to 0.98; p=0.01; respectively). Only two patients with ACAOS, one with BAV and one with TAV, had a perioperative coronary ischaemic event.ConclusionsThe prevalence of the potentially malignant ACAOS is significantly higher (threefold higher odds) in patients with BAV as compared with TAV, yet remains uncommon in absolute terms. Most patients with BAV and ACAOS had right-left cusp fusion and present raphe. Perioperative coronary events are rare in patients with ACAOS.

Anomalous aortic origin of the right coronary artery from the non-coronary sinus of Valsalva

2019 ◽  
Vol 29 (4) ◽  
pp. 531-533
Author(s):  
Arpan R. Doshi ◽  
Erin K. Opfer ◽  
Daniel Forsha
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Sinus ◽  
Rare Case ◽  
Anomalous Coronary Artery ◽  
Transthoracic Echocardiogram ◽  
Sinus Of Valsalva ◽  
Premature Ventricular Contractions ◽  
The Right ◽  
Anomalous Coronary

AbstractWe report a rare case of anomalous aortic origin of the right coronary artery from the posterior/non-coronary sinus of Valsalva in a 9-year-old male diagnosed during the workup of premature ventricular contractions. The finding was initially noted on transthoracic echocardiogram and further confirmed with computed tomography. The anomalous coronary artery shows a wide ostium with no intramural or interarterial course.

scholarly journals Transient occlusion of the right coronary artery by a calcific bicuspid aortic valve mass – An interesting case of inferior STEMI

2016 ◽  
Vol 14 (2) ◽  
pp. 40-42
Author(s):  
Paul Leo Maggiore ◽  
Amanda Helen Turnbull ◽  
Jurgen Passage ◽  
Brendan Mario McQuillan ◽  
Mark Teh
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Right Coronary Artery ◽  
Interesting Case ◽  
The Right

Chest Pain after Aortic Valve Replacement: Rupture of Right Sinus of Valsalva Presenting as Myocardial Infarction

Cardiology ◽  
2016 ◽  
Vol 134 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Jianqing She ◽  
Zhan Hu ◽  
Yangyang Deng ◽  
Fuqiang Liu ◽  
Zuyi Yuan
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Right Coronary Artery ◽  
Artery Dissection ◽  
Sinus Of Valsalva ◽  
Coronary Artery Dissection ◽  
The Right

Background: A 47-year-old male presented with retrosternal chest pain, which had started 4 days previously and had become excruciating for the past 6 h. He had undergone mechanical aortic valve replacement surgery 4 months previously. Investigation: Electrocardiography, echocardiography, computed tomography-angiography of the aorta. Diagnosis: Rupture of the right sinus of Valsalva and right coronary artery dissection. Management: The defect in the right coronary sinus was closed, and the dissection at the root of the right coronary artery was resected and the right coronary artery bypassed to the root of the aorta.

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