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Aortic root replacement for annuloaortic ectasia with a single coronary artery

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Abstract

A single coronary artery, arising from the left sinus of Valsalva, associated with a bicuspid aortic valve and annuloaortic ectasia, is very rare. We report on a surgical case of bicuspid aortic valve regurgitation, annuloaortic ectasia, and dilation of the ascending aorta to the aortic arch in a patient with a single coronary artery. We successfully performed aortic root replacement with reimplantation of the single coronary artery and total arch replacement. The reimplantation of the coronary orifice required particular attention. Postoperative CT demonstrated the expected contours from the aortic annulus to the aortic arch with a patent implanted coronary artery.

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Conflict of interest

We have no conflict of interest to disclosure.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Saku Central Hospital Advanced Care Center, 3400-28, Nakagomi, Saku-shi, Nagano, 385-0051, Japan

    Mitsutaka Nakao, Yujirou Kawai, Hirokazu Niitsu, Yasuyuki Toyoda, Yasutoshi Tsuda, Kazuaki Shiratori & Takahiro Takemura

  2. Department of Cardiac Surgery, The Jikei University School of Medicine, 3-19-18, Nishishimbashi, Minato-ku, Tokyo, 105-8461, Japan

    Ko Bando & Kazuhiro Hashimoto

Authors
  1. Mitsutaka Nakao
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  2. Yujirou Kawai
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  3. Hirokazu Niitsu
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  4. Yasuyuki Toyoda
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  5. Yasutoshi Tsuda
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  6. Kazuaki Shiratori
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  7. Takahiro Takemura
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  8. Ko Bando
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  9. Kazuhiro Hashimoto
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Corresponding author

Correspondence to Mitsutaka Nakao.

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Nakao, M., Kawai, Y., Niitsu, H. et al. Aortic root replacement for annuloaortic ectasia with a single coronary artery. Gen Thorac Cardiovasc Surg 64, 742–744 (2016). https://doi.org/10.1007/s11748-015-0557-4

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  • DOI: https://doi.org/10.1007/s11748-015-0557-4

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