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Successful aortic root replacement and shunt closure in a case with rare coexistence of congenital cardiac malformations: bicuspid aortic valve with annuloaortic ectasia, single coronary artery, and patent foramen ovale

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Abstract

This is the first report of rare simultaneous complication of three cardiac malformations: bicuspid aortic valve with annuloaortic ectasia, single coronary artery, and patent foramen ovale. We successfully operated to replace the aortic valve and ascending aorta, and to close the patent foramen ovale.

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Reference

  1. Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L (1979) Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology 130:39–47. doi:10.1148/130.1.39

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Acknowledgments

We thank Dr. Fumihiro Yamasawa, MD, PhD, Department of Respiratory Medicine, Keio University School of Medicine, and his co-workers for thoughtful advice and support in daily clinical practice.

Conflict of interest

None.

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Authors and Affiliations

  1. Department of Cardiology, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582, Japan

    Toru Egashira & Keiichi Fukuda

  2. Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Keio University, Shinjuku, Japan

    Hideyuki Shimizu

  3. Department of Diagnostic Radiology, School of Medicine, Keio University, Shinjuku, Japan

    Yoshitake Yamada

Authors
  1. Toru Egashira
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  2. Hideyuki Shimizu
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  3. Yoshitake Yamada
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  4. Keiichi Fukuda
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Corresponding author

Correspondence to Toru Egashira.

Electronic supplementary material

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10554_2014_458_MOESM1_ESM.avi

Video 1: A zoomed aortic root view by 3D-coronary CT angiography showed a single coronary artery arising from the left sinus of Valsalva. (AVI 612 kb)

10554_2014_458_MOESM2_ESM.avi

Video 2: 3D-volume-rendered reconstruction by coronary CT angiography showed the single coronary artery arises from the left sinus, which gave off the anterior descending branch in the usual fashion and then continued on in the atrioventricular groove as the left circumflex branch. Furthermore, it continued beyond the crux into the right atrioventricular groove to supply marginal branches to the right ventricle. (AVI 7559 kb)

10554_2014_458_MOESM3_ESM.avi

Video 3: The left anterior oblique (LAO) aortography showed Sellers grade 3 to 4 aortic regurgitation and also revealed the dilated left ventricle with reduced systolic function and the single coronary artery. (AVI 2552 kb)

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Egashira, T., Shimizu, H., Yamada, Y. et al. Successful aortic root replacement and shunt closure in a case with rare coexistence of congenital cardiac malformations: bicuspid aortic valve with annuloaortic ectasia, single coronary artery, and patent foramen ovale. Int J Cardiovasc Imaging 30, 1267–1268 (2014). https://doi.org/10.1007/s10554-014-0458-0

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  • DOI: https://doi.org/10.1007/s10554-014-0458-0

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