# Rare Case of Valve-Sparing Root Reimplantation in a Patient With an Anomalous Circumflex Artery

## 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.

## Key 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.