Anomalous origin of left main coronary artery from right sinus of valsalva in addition to bicuspid aortic valve

Peters, Stefan

doi:10.1016/j.ijcard.2014.10.074

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Bicuspid aortic valve (BAV) is the most common congenital heart defect, with a prevalence estimated between 0.5% and 2% [1]. Alterations in coronary anatomy and distribution have been described in patients with BAV including higher incidence of separate left coronary ostia or left dominant system [2], as well as abnormal coronary artery origin (ACAO) [3]. Among the group of congenital coronary anomalies, ACAOs with an inter-arterial course of the ectopic proximal vessel represent a subgroup associated with the greatest potential for clinical consequences, specifically, sudden death in teenagers and young adults [4].…”

Section: Introductionmentioning

confidence: 99%

High-Risk Congenital Coronary Abnormalities in Patients with Bicuspid Aortic Valve

Collard¹,

Buklas²,

Maragnès³

et al. 2021

Congenital Heart Disease

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Objective: Abnormal coronary artery origin (ACAO) from the opposite sinus with inter-arterial course of the ectopic proximal vessel is associated with the greatest potential for clinical manifestations, specifically sudden death. Data remain limited regarding the association between bicuspid aortic valve (BAV) and this potentially dangerous coronary variant reported in up to 0.6% in the general population. We investigated the frequency of this high-risk ACAO with inter-arterial course in our surgical series of BAV patients. Methods and Results:We conducted a retrospective study to identify BAV patients with ACAO and inter-arterial course who underwent elective aortic valve/root surgery between 2010 and 2019 in our tertiary center. A total of 279 consecutive patients with BAV were identified. Among these, four patients (1.4%) had ACAO with inter-arterial course. Three patients had abnormal right coronary artery arising from the theoretical opposite coronary sinus with intramural course. The fourth patient presented an abnormal left coronary artery from a single coronary artery arising from the theoretical right coronary sinus with a long inter-arterial course. Conclusion: Our results from a single-center experience support high-risk ACAOS may be more frequently diagnosed in BAV patients, especially in surgical series, justifying a careful preoperative assessment.

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Section: Introductionmentioning

confidence: 99%

High-Risk Congenital Coronary Abnormalities in Patients with Bicuspid Aortic Valve

Collard¹,

Buklas²,

Maragnès³

et al. 2021

Congenital Heart Disease

View full text Add to dashboard Cite

show abstract

Real-time three-dimensional transesophageal echocardiographic evaluation of the association of bicuspid aortic valve and mitral posterior leaflet hypoplasia

Saura

Oliva

Sánchez-Galian

et al. 2015

International Journal of Cardiology

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Sudden death of a post-partum female with anomalous origin of the coronary artery with bicuspid aortic valve

Thube

Sane

2022

Med Leg J

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Modern techniques have enabled routine diagnosis of congenital cardiac defects, notwithstanding, there will be some that remain undiagnosed and asymptomatic until adulthood. But this is rarely the case with the patent foramen ovale, with the anomalous aortic origin of the left main coronary artery and bicuspid aortic valve. This case describes the sudden death of a female in her post-partum period due to cardiac tamponade following a ruptured aneurysm of the coronary artery at its origin at the sinus of Valsalva. Autopsy shows patent foramen ovale findings and anomalous aortic origin of coronary artery (AAOCA) and bicuspid aortic valve. The association of AAOCA with bicuspid aortic valve and patent foramen ovale is rare.

show abstract

Anomalous origin of left main coronary artery from right sinus of valsalva in addition to bicuspid aortic valve

Cited by 3 publications

References 4 publications

High-Risk Congenital Coronary Abnormalities in Patients with Bicuspid Aortic Valve

High-Risk Congenital Coronary Abnormalities in Patients with Bicuspid Aortic Valve

Real-time three-dimensional transesophageal echocardiographic evaluation of the association of bicuspid aortic valve and mitral posterior leaflet hypoplasia

Sudden death of a post-partum female with anomalous origin of the coronary artery with bicuspid aortic valve

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