# Single coronary artery with aortic valve replacement followed by aortic root replacement due to endocarditis: A case report

## TL;DR

A woman with a rare heart condition had two surgeries to treat aortic valve issues and an infection, and she remains healthy two years later.

## Contribution

This case report highlights a complex surgical approach for a rare anatomical condition complicated by endocarditis.

## Key findings

- Aortic root replacement was successfully performed after aortic valve replacement complicated by abscess formation.
- The use of a freestyle valve and saphenous vein graft allowed for safe RCA management.
- The patient remained infection-free and asymptomatic for two years post-surgery.

## Abstract

A woman with a single coronary artery underwent aortic valve replacement due to aortic stenosis. Two years later, she developed an aortic annular abscess around the right coronary cusp and non‐coronary cusp. Significant adhesions to the right coronary artery (RCA) resulted from the abscess, making artery separation challenging, and raising concerns about potential future RCA stenosis. The patient subsequently underwent aortic root replacement and coronary artery bypass grafting. Utilizing a freestyle valve and a saphenous vein graft for the RCA. Following the procedure, the patient was discharged and has remained symptom‐free without any recurrence of infection for 2 years.