ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Ann Thorac Surg 2010;90:313. doi:10.1016/j.athoracsur.2009.10.019
© 2010 The Society of Thoracic Surgeons
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sarraj, A.
Right arrow Articles by Duarte, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sarraj, A.
Right arrow Articles by Duarte, J.
Related Collections
Right arrow Congenital - acyanotic
Right arrow Valve disease

Images in Cardiothoracic Surgery

Redundant Anterior Aortic Valve

Anas Sarraj, PhDa,*, José-Manuel Nuche, PhDa, Lourdes Dominguez, MDb, Juan Bustamante, PhDa, Guillermo Reyes, PhDa, Juan Duarte, PhDa

a Department of Cardiovascular Surgery, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, Spain
b Department of Cardiology, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, Spain

* Address correspondence to Dr Sarraj, Department of Cardiovascular Surgery, Hospital Universitario de La Princesa, Diego de León, 62, Madrid, 28006, Spain (Email: anas_sarraj{at}hotmail.com).

A 57-year-old man with history of arterial hypertension, diabetes mellitus, and hypercholesterolemia was admitted to our hospital because of stable angina and transient ischemic attack. The result of a cerebral computed tomographic scan was normal, exercise test was positive, and coronary artery catheterization revealed proximal total occlusion of left anterior descending artery with moderate anterior wall hypokinesia. Echocardiography showed a competent aortic valve with a large mobile mass arising from the anterior aortic valve, floating between the right sinus of Valsalva and the ascending aorta, with the diagnosis of papillary fibroelastoma (Fig 1).


Figure 1
View larger version (85K):
[in this window]
[in a new window]

  		Fig 1.
 
Because of the risk of an embolic event, the patient underwent semiurgent coronary artery bypass grafting of the left internal mammary artery to the left anterior descending artery. The ascending aorta was opened, and redundant anterior aortic normal valve tissue was found, probably congenital. No infection, inflammatory signs, or tumor were observed (Fig 2).


Figure 2
View larger version (142K):
[in this window]
[in a new window]

  		Fig 2.
 
The patient's postoperative course was unremarkable, and he was discharged 1 week later. He is currently healthy, and no more transient ischemic attacks have been documented.





This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sarraj, A.
Right arrow Articles by Duarte, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sarraj, A.
Right arrow Articles by Duarte, J.
Related Collections
Right arrow Congenital - acyanotic
Right arrow Valve disease

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS