Aortic Valve Replacement and Concomitant Coronary Artery Bypass Grafting in a Patient with Infective Endocarditis and Anomalous Origin of the Right Coronary Artery from the Opposite Sinus of Valsalva
スポンサーリンク
概要
- 論文の詳細を見る
A 69-yrs-old woman with anomalous origin of the right coronary artery from the opposite sinus of Valsalva (ACAOS) was diagnosed as having infective endocarditis affecting the aortic valve. Transthoracic echocardiography showed severe aortic stenosis and vegetations on the cusp of the aortic valve, which necessitated aortic valve replacement. Before the operation, computed tomography showed a right-ACAOS, with the artery running an interarterial course between the aorta and pulmonary artery. ACAOS running an interarterial course has been reported to be associated with an increased risk of ischemic cardiac events and sudden death. The patient was treated successfully by the aortic valve replacement with concurrent coronary artery bypass grafting using a saphenous vein graft for the right coronary artery.
著者
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Kyo Shunei
Department Of Cardiac Surgery Saitama Medical School
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Harada Kazumasa
Department Of Cardiology Tokyo Metropolitan Geriatric Hospital
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Itatani Keiichi
Department Of Cardiothoracic Surgery The University Of Tokyo
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Fujimoto Hajime
Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
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Koyama Sachi
Department of Cardiac Surgery, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
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Aoyama Rie
Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
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Tubokou Yusuke
Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
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Koyama Sachi
Department of Cardiac Surgery, the Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
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Itatani Keiichi
Department of Cardiac Surgery, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
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Harada Kazumasa
Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
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