Korean J Thorac Cardiovasc Surg.
2007 Jun;40(6):445-447.
Occlusion of the Right Coronary Artery Ostium due to Rheumatic Aortic Valve Stenosis
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Chosun University College of Medicine, Korea.
- 2Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Research Institute, Korea. koreaheartsurgeon@hotmail.com
- 3Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyung Hee University, Korea.
Abstract
- Occlusion of a coronary artery ostium and especially occlusion of the right by an aortic cusp is a rare condition. We experienced an adult patient with occlusion of the right coronary ostium that was due to fusion of the right coronary cusp to the aortic wall along with underlying rheumatic aortic valve stenosis. During the operation, the adherent right coronary cusp was excised. After confirming that the right coronary ostium was patent, the other cusps were removed, and this followed by replacement of the aortic valve with a mechanical valve. The postoperative course was uneventful.
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