Document Detail

Occlusion of left coronary ostium with a rudimentary aortic cusp.
MedLine Citation:
PMID:  21095368     Owner:  NLM     Status:  MEDLINE    
A 74-year-old woman with exertional angina was diagnosed with occlusion of the left coronary ostium associated with a rudimentary aortic valve cusp. A transesophageal echocardiogram, a multi-detector computed tomographic scan, and a coronary angiographic scan revealed the rudimentary aortic cusp covering the small left coronary aortic sinus leading to occlusion of the ostium of the left coronary artery, despite the intact coronary arteries. After excision of the rudimentary left coronary cusp, the left coronary ostium appeared intact. An aortic valve replacement with annular enlargement using a bioprosthetic valve was performed. The patient uneventfully recovered without angina.
Kyoko Hayashida; Satoru Okumura; Tetsunori Kawase; Kohei Kawazoe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  90     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-24     Completed Date:  2011-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  2053-5     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Cardiovascular Surgery, Kusatsu General Hospital, Shiga, Japan.
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MeSH Terms
Aortic Valve / abnormalities*
Coronary Angiography
Coronary Stenosis / diagnosis,  etiology*,  surgery
Diagnosis, Differential
Echocardiography, Transesophageal
Follow-Up Studies
Heart Valve Diseases / congenital*,  diagnosis,  surgery
Heart Valve Prosthesis Implantation / methods*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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