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Related Concept Videos

Thoracic Aorta01:15

Thoracic Aorta

341
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
341
Coronary Circulation01:21

Coronary Circulation

2.1K
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
2.1K

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Related Experiment Video

Updated: May 27, 2025

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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Anomalous left circumflex artery origin in aortic root surgery.

Chellasamy Rajeev Thilak1, Mohammed Idhrees1, Kishore Ravi2

  • 1Institute of Cardiac and Aortic Disorders, SIMS Hospital, Chennai, 600026 India.

Indian Journal of Thoracic and Cardiovascular Surgery
|February 20, 2025
PubMed
Summary

An anomalous origin of the left circumflex artery (LCx) poses surgical challenges. The Bentall procedure with a combined coronary button technique successfully managed a complex case involving bicuspid aortic valve and aortic aneurysms.

Keywords:
Anomalous left circumflex arteryAortaAortic surgeryCardiac surgery

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Area of Science:

  • Cardiovascular Surgery
  • Congenital Heart Disease
  • Cardiac Anatomy

Background:

  • Anomalous origin of the left circumflex artery (LCx) from the right coronary sinus is a common coronary anomaly.
  • This anomaly presents significant technical challenges during aortic root surgery.
  • Complex cardiac conditions require tailored surgical strategies.

Observation:

  • A patient presented with a bicuspid aortic valve, anomalous LCx origin, severe aortic stenosis, moderate aortic regurgitation, and ascending aorta/aortic root aneurysms.
  • The anatomical complexity necessitated a specific surgical approach.
  • Accurate pre-operative assessment is crucial for managing such cases.

Findings:

  • The Bentall procedure was performed for aortic root and ascending aorta replacement.
  • The combined coronary button technique was utilized for managing the anomalous LCx.
  • The surgical approach ensured safe and successful management of the complex pathology.

Implications:

  • This case highlights the efficacy of the Bentall procedure with the combined coronary button technique in managing complex aortic root pathology with anomalous coronary origins.
  • The findings emphasize the importance of adapting surgical techniques to individual patient anatomy.
  • Successful management of such complex cases can improve patient outcomes and quality of life.