Successful Tricuspidization of Bicuspid Aortic Valve Complicated by Anomalous Coronary Artery

Repair of an asymmetrical bicuspid aortic valve remains a complicated endeavor. Here, we present a successful aortic valve repair for severe aortic regurgitation associated with such a bicuspid aortic valve, further complicated by an anomalous coronary artery. The nonsevered dilated aortic root was...

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Bibliographic Details
Main Authors: Kazuki Hisatomi, MD, PhD, Kiyoyuki Eishi, MD, PhD, Ichiro Matsumaru, MD, PhD, Kikuko Obase, MD, PhD, Takashi Miura, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Annals of Thoracic Surgery Short Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2772993124003310
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Summary:Repair of an asymmetrical bicuspid aortic valve remains a complicated endeavor. Here, we present a successful aortic valve repair for severe aortic regurgitation associated with such a bicuspid aortic valve, further complicated by an anomalous coronary artery. The nonsevered dilated aortic root was reshaped by the sleeve procedure with a Valsalva graft, and the raphe was lifted up to reconstruct the functional commissure, which enabled tricuspidization. Correcting the anomalous aortic origin of the right coronary artery, which posed a risk of myocardial ischemia because of its interarterial course, was achieved by translocating it to the right sinus of Valsalva.
ISSN:2772-9931