The Anomalous Coronary Artery in Aortic Valve Replacement: A Case For Caution

Patrick T. Roughneen, Ghannam A. Al-Dossari

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


We report obstruction of an anomalous right coronary artery traversing between the pulmonary artery and aorta after placement of a 21-mm bovine bioprosthesis for critical aortic stenosis requiring emergency revascularization. Although this anomaly has been associated with sudden death syndrome, acute coronary ischemia resulting from aortic valve replacement in patients with anomalous coronary artery has not been sufficiently highlighted in the literature. Awareness of this issue may decrease the risk of this complication in patients with anomalous coronary anatomy undergoing aortic or pulmonary valve replacement. Furthermore, the need for careful preoperative imaging in patients undergoing semilunar valve replacement is essential.

Original languageEnglish (US)
Pages (from-to)e113-e115
JournalAnnals of Thoracic Surgery
Issue number2
StatePublished - Aug 1 2016

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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