# Rapid Deployment Aortic Valve Replacement: Valve of Choice in Patients With a Left Circumflex Anomaly?

## TL;DR

A patient with a rare coronary artery anomaly successfully underwent rapid deployment aortic valve replacement, leading to improved heart function and no complications.

## Contribution

Demonstrates successful use of rapid deployment aortic valve replacement in a complex case with a left circumflex artery anomaly.

## Key findings

- The patient's left ventricular ejection fraction improved after surgery.
- There were no complications during hospitalization or at 1-year follow-up.
- Rapid deployment valve replacement was feasible despite the coronary anomaly.

## Abstract

We present a successful application of rapid deployment surgical aortic valve replacement in a patient with an anomalous origin of the left circumflex coronary artery, which originated from the right coronary ostium. The patient presented with cardiac decompensation, with resting dyspnea and angina pectoris. Imaging revealed high-grade aortic valve insufficiency, a reduced left ventricular ejection fraction, an aneurysm of the ascending aorta (58 mm), and relevant stenoses of the coronary arteries. She underwent rapid deployment surgical aortic valve replacement, after careful dissection of the left circumflex artery and replacement of the ascending aorta, proximal arch, and bypasses. Her left ventricular ejection fraction improved postoperatively, and there were no complications during the inpatient course and at 1-year follow-up.