Modified aortic root remodeling for annuloaortic ectasia with abnormal coronary take-off.

Matsuda, Hikaru; Ichikawa, Hajime; Iwai, Shigemitsu; Takahashi, Toshiki · Ann Thorac Surg · 2002

case_report · Level V

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Abstract

The abnormality of coronary arterial take-off is a limiting factor for a successful aortic valve sparing procedure. We present a 13-year-old boy, with Marfan syndrome and annuloaortic ectasia, whose coronary take-off was found to be abnormal during surgery. Two adjacent coronary orifices were located in the left coronary sinus and very close to the right-left commissure. A modified aortic remodeling procedure was successfully performed without translocation of the coronary artery.

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