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Management of Anomalous Left Circumflex Artery Encircling the Aortic Annulus in a Patient Undergoing Multivalvular Surgery
Author(s) -
Castillo Javier G.,
Sanz Javier,
Fischer Gregory W.,
Bowman Kimberley,
Filsoufi Farzan
Publication year - 2009
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2009.00930.x
Subject(s) - medicine , circumflex , cardiac skeleton , cardiology , sinus (botany) , aortic sinus , surgery , endocarditis , artery , aortic valve replacement , regurgitation (circulation) , stenosis , botany , biology , genus
The abnormal origin of left circumflex artery from the right sinus of Valsalva with a retroaortic course is a well‐known coronary anomaly usually without consequences. In patients undergoing aortic valve replacement, this finding becomes crucial because the left circumflex is at risk of injury during the procedure. The scenario is even more complex in patients undergoing multi‐valve surgery. We report the diagnosis and successful operative strategy in a patient with anomalous left circumflex arising from the proximal right sinus of Valsalva undergoing double aortic and tricuspid valve surgery for active bacterial endocarditis.