Unroofing of Left Coronary Artery in a Patient with Aortic Valve Replacement
Journal of Surgery
Volume 6, Issue 3, June 2018, Pages: 58-60
Received: Jan. 11, 2018; Accepted: Feb. 7, 2018; Published: May 7, 2018
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Syed Shahabuddin, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan
Osama Ahmed Sami, Dow International Medical College, Karachi, Pakistan
Jamal Kabeer Khanv, South City Hospital, Karachi, Pakistan
Shahid Ahmed Sami, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan
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During aortic valve replacement, coronary artery obstruction is a rare but fatal complication. It may require revision of the surgical procedure including re-implantation of the valve or additional coronary revascularization. It is more common in the presence of abnormality of coronary artery like malposition or abnormal course. We report a case of 32 years old gentleman undergoing aortic valve replacement for severe aortic stenosis, having an abnormally placed left main coronary artery ostium. The risk of coronary ostial compression on seating the prosthetic valve was evident. A left main coronary artery unroofing was performed to translocate the ostium to avoid the obstruction. The patient recovered well intra and postoperatively and is doing well at nine months follow up.
Aortic Valve, Coronary Unroofing, Cardiac Surgery
To cite this article
Syed Shahabuddin, Osama Ahmed Sami, Jamal Kabeer Khanv, Shahid Ahmed Sami, Unroofing of Left Coronary Artery in a Patient with Aortic Valve Replacement, Journal of Surgery. Vol. 6, No. 3, 2018, pp. 58-60. doi: 10.11648/j.js.20180603.11
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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