Congenital Quadricuspid Aortic Valve Associated with Severe Regurgitation

A 56-year-old man was referred because of severe aortic regurgitation. He had a quadricuspid aortic valve with a small accessory cusp between the right coronary and noncoronary cusps. The ostium of the right coronary artery was deviated toward the accessory cusp commissure. Aortic valve replacement was performed with a bioprosthesis. The resected cusps showed fibrotic thickening with calcification and fenestration.

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Total thrombotic occlusion of the right coronary artery after surgical aortic valve replacement

Journal of Cardiac Surgery ◽

10.1111/jocs.14243 ◽

2019 ◽

Vol 34 (11) ◽

pp. 1359-1360

Author(s):

Michael P. D'Angelo ◽

Arman Kilic ◽

Patrick Chan ◽

Ibrahim Sultan

Keyword(s):

Coronary Artery ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Right Coronary Artery ◽

Surgical Aortic Valve Replacement ◽

Thrombotic Occlusion ◽

The Right

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Aortic Valve Replacement in a Case of Anomalous Origin of the Right Coronary Artery

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.40.10 ◽

2011 ◽

Vol 40 (1) ◽

pp. 10-13 ◽

Cited By ~ 1

Author(s):

Nozomi Kojima ◽

Satoshi Ito ◽

Arata Muraoka ◽

Hiroaki Konishi ◽

Yoshio Misawa

Keyword(s):

Coronary Artery ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Right Coronary Artery ◽

Anomalous Origin ◽

The Right

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

Cardiology ◽

10.1159/000443266 ◽

2016 ◽

Vol 134 (1) ◽

pp. 22-25 ◽

Cited By ~ 2

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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Aortic Valve Replacement for Quadricuspid Aortic Valve Associated With Right Coronary Ostium Anomaly: a Case Report

10.21203/rs.3.rs-965180/v1 ◽

2021 ◽

Author(s):

Shigeto Tsuji ◽

Shogo Shimada ◽

Yoshifumi Itoda ◽

Haruo Yamauchi ◽

Minoru Ono

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Ventricular Myocardium ◽

Coronary Ostium ◽

Quadricuspid Aortic Valve ◽

Case Presentation ◽

Severe Aortic Regurgitation ◽

The Right ◽

Selection Of

Abstract Background: Quadricuspid aortic valve is a rare congenital heart disease that may be associated with coronary ostium anomalies. Care should be taken to avoid occluding or compressing the coronary ostium while performing aortic valve replacement.Case presentation: Herein, we report a case of a 59-year-old woman who underwent aortic valve replacement for a quadricuspid aortic valve with severe aortic regurgitation. Intraoperatively, the aortic valve had four cusps of almost equal size and the right coronary artery arose adjacent to one of the commissures. The annular stitches were placed in a non-everting mattress fashion with pledgets on the ventricular side, and stitches near the right coronary ostium were transitioned to the subannular ventricular myocardium to maintain the distance from the ostium. Further, we selected a small prosthesis because oversized prosthetic valve could potentially compress the right coronary ostium.Conclusions: While performing aortic valve replacement for a quadricuspid aortic valve associated with a right coronary ostium anomaly, careful selection of the size of the prosthesis and modification of the annular stitches are essential to prevent obstruction of the coronary ostium.

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Late onset of coronary ostial stenosis following surgical aortic valve replacement in a patient with anomalous origin of the right coronary artery

Journal of Cardiology Cases ◽

10.1016/j.jccase.2021.07.001 ◽

2021 ◽

Author(s):

Motoyoshi Takahara ◽

Yuta Imai ◽

Fumihiro Miyashita ◽

Yuki Uchio ◽

Masahiro Makino ◽

...

Keyword(s):

Coronary Artery ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Right Coronary Artery ◽

Late Onset ◽

Anomalous Origin ◽

Surgical Aortic Valve Replacement ◽

Coronary Ostial Stenosis ◽

The Right

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Transcatheter aortic valve replacement in a patient with an anomalous origin of the right coronary artery

Catheterization and Cardiovascular Interventions ◽

10.1002/ccd.23012 ◽

2011 ◽

Vol 78 (7) ◽

pp. 1013-1016 ◽

Cited By ~ 4

Author(s):

Hellmuth Weich ◽

Christelle Ackermann ◽

Hofmeyr Viljoen ◽

Jacques van Wyk ◽

Thomas Mabin ◽

...

Keyword(s):

Coronary Artery ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Right Coronary Artery ◽

Transcatheter Aortic Valve Replacement ◽

Anomalous Origin ◽

Transcatheter Aortic Valve ◽

The Right

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Aortic Valve Replacement and Concomitant Right Coronary Artery Bypass Grafting Performed via a Right Minithoracotomy Approach

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000081 ◽

2014 ◽

Vol 9 (4) ◽

pp. 302-305 ◽

Cited By ~ 2

Author(s):

Christos G. Mihos ◽

Orlando Santana ◽

Andres M. Pineda ◽

Angelo La Pietra ◽

Joseph Lamelas

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Right Coronary Artery ◽

Artery Bypass ◽

Bypass Grafting ◽

The Mean ◽

The Right

Objective We present our experience of concomitant right coronary artery bypass grafting (CABG) and aortic valve replacement performed via a right minithoracotomy in patients with coronary lesions not amenable to percutaneous intervention. Methods A total of 17 patients underwent concomitant aortic valve replacement and right CABG between April 2008 and July 2013.A5-to 6-cm minithoracotomy incision was made over the right second or third intercostal space, and the costochondral cartilage was transected. A saphenous vein bypass to the right coronary artery was then performed, initiating the anastomosis from the toe of the graft. Subsequently, the aortic valve was replaced using standard techniques. Results There were 6 men and 11 women. The median European System for Cardiac Operative Risk Evaluation II score mortality risk was 5% [interquartile range (IQR), 2%-8%]. The mean (SD) age was 77 (10) years, the left ventricular ejection fraction was 59% (8%), and the New York Heart Association functional class was 2.4 (0.8). One patient had a history of CABG. The mean (SD) cardiopulmonary bypass time was 168 (57) minutes, and the aortic cross-clamp time was 133 (36) minutes. Three patients underwent concomitant mitral valve surgery (replacement, 2; repair, 1). The median intensive care unit and hospital lengths of stay were 47 hours (IQR, 24–90) and 9 days (IQR, 5–13), respectively. There was one reoperation for bleeding, and there was one postoperative stroke. All patients were alive at a mean (SD) follow-up of 2 (1.1) years. Conclusions Aortic valve replacement with concomitant CABG performed via a right minithoracotomy approach is feasible.

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