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Ann Thorac Surg 2002;73:647-649
© 2002 The Society of Thoracic Surgeons

Case report

Aortic root replacement with anomalous origin of the coronary arteries

Stacy B. O’Blenes, MD, MSa, Christopher M. Feindel, MD*a

a Division of Cardiovascular Surgery, The Toronto Hospital, University of Toronto, Toronto, Ontario, Canada

Accepted for publication June 22, 2001.

* Address reprint requests to Dr Feindel, The Toronto Hospital, E 14-222, 200 Elizabeth St, Toronto, Ontario, Canada M5G 2C4
e-mail: chris.feindel{at}uhn.on.ca

Coronary arteries with anomalous origin from the aorta can be at risk during aortic valve procedures. We report a case of origin of the circumflex and left coronary artery from the proximal right coronary artery in a patient with a bicuspid aortic valve and aortic root aneurysm. Attention to the anatomic relationship of the anomalous arteries to the aorta allowed safe aortic root replacement.




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