Compression of anomalous circumflex coronary artery by a prosthetic valve ring.

Veinot, J P; Acharya, V C; Bedard, P · Ann Thorac Surg · 1998

case_report · Level V

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Abstract

Anomalous origin of the circumflex coronary artery from the right aortic sinus, with a retroaortic course, is usually without consequence. We report a patient who underwent aortic valve replacement for bicuspid aortic valve. The prosthesis sewing ring distorted the circumflex, producing myocardial infarcts and sudden death during exercise.

Medical subject headings