Related Experiment Video

Updated: Mar 17, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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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

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[Annuloaortic Ectasia Associated with Single Coronary Artery and Ventricular Septal Defect;Report of a Case]

Hideo Tsunemoto1, Kazuhiro Yamaura

  • 1Department of Cardiovascular Surgery, Aizawa Hospital, Matsumoto, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|August 2, 2016
PubMed

Insights

A rare case of annuloaortic ectasia with a single coronary artery and ventricular septal defect was successfully treated. This complex combination highlights the importance of thorough pre-operative assessment in cardiac surgery.

Area of Science:

  • Cardiovascular Surgery
  • Congenital Heart Disease
  • Cardiac Anatomy

Background:

  • Single coronary artery is a rare congenital anomaly.
  • Annuloaortic ectasia involves aortic root and ascending aorta dilatation.
  • Ventricular septal defects are common congenital heart abnormalities.

Observation:

  • A 67-year-old male presented with exertional dyspnea.
  • Diagnostic imaging revealed a single coronary artery, severe aortic regurgitation, aortic root dilatation, and a small ventricular septal defect.

Findings:

  • The patient had a rare combination of annuloaortic ectasia, single coronary artery, and ventricular septal defect.
  • Modified Bentall's operation was performed for surgical correction.

Implications:

  • This case underscores the importance of recognizing and managing complex congenital heart anomalies.
  • Successful surgical outcomes are achievable even with rare combinations of cardiac defects.
  • Further research into the embryology and surgical management of such rare conditions is warranted.

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