"Killer coronary artery" and aortic valve stenosis: A tricky case. (November 2015)

• Record Type: Journal Article
• Authors: Nader, Joseph; Labont, Béatris Alina; Houpe, David; Caus, Thierry
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 23:Number 9(2015)
• Page Start: 1079
• Page End: 1082
• Publication Date: 2015-11
• Subjects: Aortic valve stenosis -- Coronary vessel anomalies -- Heart valve prosthesis implantation -- Sinus of Valsalva; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492314533685
• Languages: English
• ISSNs: 0218-4923

Abstract

Anomalous origin of the left main coronary artery from the right coronary sinus is rarely diagnosed in elderly patients. We report such an anomaly in a 75-year-old lady presenting with chest pain and syncope. Preoperative screening revealed that her aortic valve was moderately stenotic. The patient underwent a successful unroofing procedure combined with aortic valve replacement. The outcome was uncomplicated and the patient remained asymptomatic at one year postoperatively.