Aortic Dissection with Aberrant Origin of Single Coronary Artery -Report of 1 case-

단일 관상동맥 기형이 동반된 급성 대동맥박리의 수술치험

  • Kim, Woong-Han (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Ahn, Hyuk (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • 김웅한 (서울대학교 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 안현 (서울대학교 흉부외과, 서울대학교 의과대학 흉부외과학교실)
  • Published : 1994.12.01

Abstract

Emergency operation was performed in a patient with severe aortic insufficiency caused by type A acute aortic dissection with aberrant high take-off origin of single coronary artery. The single coronary artery was found to arise from an unusual position high in the ascending aorta. Dissection was begun in the aortic root and involved the single coronary ostium. Valve competance was restored by resuspension of the commissures. the false lumen was obliterated with strips of Teflon felt and surgical glue. The aortic tissues were firmly reinforced and sutured. The proximal aortic stump was anatomically reconstructed, and fortunately the aortic valve was preserved and coronary reimplantation avoided. The patient was discharged at postoperative 13 days without specific complications. Postoperative course during the 18 months follow-up was uneventful.

Keywords

References

  1. Surgery v.92 Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty-seven patients treated surgically Debakery,M.E.;McCollum,C.H.;Crawford,E.S.(et al.)
  2. J. Thorac. Cardiovasc. Surg. v.83 Four-year clinical experience with the Gelatine-Resorcine-Formol biological glue in acute aortic dissection Bachet,B.;Gigou,F.;Laurian,C.;Bical,O.;Goudot,B.;Guilmet,D.;Dubost,Ch.
  3. Circulation v.80 no.suppl Ⅰ Use of surgical glue without replacement in the treatment of type A aortic dissection Fabiani,J.N.;Jebara,V.A.;Deloche,A.;Stephan,Y.;Carpentier,A.
  4. JAMA v.230 Single coronary artery. Analysis of the anatomic variation, clinical importance, and report of five cases Sharbaugh,A.H.;White,R.S.
  5. Circulation v.50 Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva. A not-so-minor congenital anomaly Cheitilin,M.D.;De Castro,C.M.;McAllister,H.A.
  6. Adv. Cardiol. v.4 Coronary ostium outside the aortic sinus. A factor in the etiology of this ischemic heart disease Manninen,V.;Rissanen,V.T.;Halonen,P.I.
  7. Am. J. Cardiol. v.31 Severe atherosclerosis in the single coronary artery. Report of a previously undescribed pattern Spring,D.A.;Thomsen,J.H.
  8. Circulation v.14 Anomalies of the coronary arteries and their clinical significance Alexander,R.W.;Griffith,G.C.