Abstract
A 73-year-old man with a severely stenosed bicuspid valve and an aneurysm of the ascending aorta underwent valve and aortic surgery. Preoperative imaging revealed a single coronary artery arising from the right side of the sinus of Valsalva and a branch that perfused into the left side of the heart to pass through the front of the pulmonary artery. We replaced the aortic valve and ascending aorta, painstakingly avoiding damage to the coronary artery and obstruction of the sole coronary ostium.
MeSH terms
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Aged
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Aorta / surgery*
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Aortic Aneurysm / surgery*
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Aortic Valve / abnormalities*
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Aortic Valve / surgery
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Aortic Valve Stenosis / diagnosis
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Aortic Valve Stenosis / surgery*
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Bicuspid Aortic Valve Disease
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Blood Vessel Prosthesis Implantation*
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Coronary Angiography
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Coronary Vessel Anomalies* / diagnosis
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Echocardiography, Transesophageal
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Heart Valve Diseases / diagnosis
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Heart Valve Diseases / surgery*
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Heart Valve Prosthesis Implantation*
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Humans
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Male
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Sinus of Valsalva
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Tomography, X-Ray Computed