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Ann Thorac Surg 1993;55:523-524
© 1993 The Society of Thoracic Surgeons

Articles

Sequestration of the left coronary artery from the aorta

Marius J. Swart, MB, ChB*, John A. Odell, FRCS(Edin), Richard C. Fraser, FCP(SA)

Department of Cardio-thoracic Surgery and Cardiology, University of Cape Town Medical School, Cape Town, South Africa

Accepted for publication April 24, 1992.

* Address reprint requests to Dr Swart, Department of Cardio-thoracic Surgery, University of Cape Town Medical School, Observatory 7925, Cape Town, South Africa.

A patient with the left coronary artery isolated from the ascending aorta is discussed. This is the seventh case described and the third diagnosed preoperatively. In contrast to other patients she had predominant aortic incompetence and was much older (52 years compared with the other patients, all younger than 25 years). She also had two angiograms demonstrating progressive isolation of the coronary artery with time. The patient was managed by aortic valve replacement. It is our belief that the condition is acquired and resulted from fusion of the free edge of the aortic valve leaflet to the supravalvar ridge secondary to an inflammatory process.




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T. Oda, H. Yasunaga, K. Todo, and K. Suda
Repair of left coronary artery ostial isolation caused by aortic valve leaflet
Interact CardioVasc Thorac Surg, December 1, 2010; 11(6): 796 - 797.
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