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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
13:10

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Occlusion of left coronary ostium with a rudimentary aortic cusp

Kyoko Hayashida1, Satoru Okumura, Tetsunori Kawase

  • 1Department of Cardiovascular Surgery, Kusatsu General Hospital, Shiga, Japan. linda99@mac.com

The Annals of Thoracic Surgery
|November 25, 2010
PubMed

Insights

A rare congenital heart defect caused exertional angina in a 74-year-old woman by obstructing the left coronary artery ostium. Surgical removal of the rudimentary aortic cusp and valve replacement resolved the angina.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • Exertional angina can be caused by coronary artery ostial occlusion.
  • Congenital anomalies of the aortic valve can lead to coronary artery compromise.

Observation:

  • A 74-year-old woman presented with exertional angina.
  • Imaging revealed a rudimentary aortic valve cusp obstructing the left coronary artery ostium.

Findings:

  • The rudimentary aortic cusp covered the left coronary aortic sinus, causing ostial occlusion.
  • Excision of the cusp and aortic valve replacement with a bioprosthetic valve were performed.

Implications:

  • This case highlights a rare cause of coronary artery ostial occlusion.
  • Surgical correction can effectively relieve symptoms and restore coronary blood flow.

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