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Ann Thorac Surg 2005;79:347-348
© 2005 The Society of Thoracic Surgeons
a Department of Cardiac Surgery, University of Leipzig Heart Center, Leipzig, Germany
Accepted for publication August 19, 2003.
* Address reprint requests to Dr Bossert, Department of Cardiac Surgery, University of Leipzig Heart Center, Strümpellstr 39, D-04289 Leipzig, Germany
tbossert11{at}aol.com
We report the case of a 41-year-old patient presenting with anomalous of origin of the right coronary artery from the pulmonary artery (ARCAPA) and severe aortic valve stenosis. Surgical correction was performed by partial (T-shaped) sternotomy. After replacing the bicuspid aortic valve, the right coronary artery ostium was directly reimplanted into the aortic root. The main pulmonary artery was reconstructed using an autologous pericardial patch. Postoperative recovery was uneventful. Four cases involving an association of the bicuspid aortic valve and ARCAPA have been reported in the literature. This potential relationship should be considered whenever diagnosing a bicuspid aortic valve.
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