Rare Case of Valve-Sparing Root Reimplantation in a Patient With an Anomalous Circumflex Artery
Veronica Lorenz, Jama Jahanyar, Gebrine El Khoury, Laurent De Kerchove

TL;DR
A rare heart surgery case is described where a patient's aortic root was reimplanted while preserving the valve, despite a complex coronary artery anomaly.
Contribution
The paper highlights a novel surgical approach for valve-sparing root reimplantation in the presence of an anomalous circumflex artery.
Findings
The patient had severe aortic regurgitation due to a bicuspid aortic valve.
An anomalous circumflex artery complicated the standard surgical dissection during the David procedure.
Valve-sparing root reimplantation was successfully performed despite the anatomical challenges.
Abstract
We present a case of valve-sparing root reimplantation in a patient with severe aortic regurgitation, in the setting of a bicuspid aortic valve with an aberrant circumflex coronary artery arising from the right coronary artery, thus rendering standard dissection of the aortic root during a David procedure challenging and risky.
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Taxonomy
TopicsCoronary Artery Anomalies · Cardiac Arrhythmias and Treatments · Congenital Heart Disease Studies
