We present the case of a patient who required posterior enlargement of the aortic annulus during aortic valve replacement in the presence of abnormal origin of the circumflex artery from the right coronary artery, with a retroaortic course.
LiberthsonRRDinsmoreREBharatiS. Aberrant coronary artery origin from the aorta. Diagnosis and clinical significance. Circulation1974; 50: 774–779.
2.
KimbirisDIskandrianASSegalBLBemisCE. Anomalous aortic origin of coronary arteries. Circulation1978; 58: 606–615.
3.
BagurRGleetonOBatailleYBilodeauSRodés-CabauJBertrandOF. Right coronary artery from the left sinus of Valsalva: multislice CT and transradial PCI. World J Cardiol2011; 3: 54–56.
4.
EidAHItaniZAl-TannirSayeghSSamahaA. Primary congenital anomalies of the coronary arteries and relation to atherosclerosis: an angiographic study in Lebanon. J Cardiothorac Surg2009; 4: 58–58.
5.
NicksRCartmillTBernsteinL. Hypoplasia of the aortic root The problem of aortic valve replacement. Thorax1970; 25: 339–346.
6.
FedakPWVermaSDavidTELeaskRLWeiselRDButanyJ. Clinical and pathophysiological implications of a bicuspid aortic valve. Circulation2002; 106: 900–904.
7.
PageHLEngelHJCampbellWBThomasCS. Anomalous origin of the left circumflex coronary artery. Recognition, angiographic demonstration and clinical significance. Circulation1974; 50: 768–773.
