AI Article Synopsis

  • - Congenital anomalies of the aortic valve are common malformations, and in rare cases, they can lead to severe issues in the coronary arteries.
  • - The case discussed involves a malformed aortic valve where a rudimentary cusp blocked the opening of the left coronary artery.
  • - The surgery involved removing the obstruction, performing a Konno operation, and implanting a 19 mm mechanical prosthesis, marking a rare instance of treatment for this specific anomaly.

Article Abstract

Congenital anomalies of the aortic valve represent a common malformation. Infrequently, a dysplastic aortic valve leaflet causes a severe coronary artery anomaly. Here, the case is reported of a malformed aortic valve in which the left rudimentary cusp occluded the left coronary ostium. At surgery the left coronary ostium was completely freed from the anomalous valvular tissue, a Konno operation was performed, and a 19 mm St. Jude Medical mechanical prosthesis was implanted. To date, very few reports have made of this rare malformation; moreover, to the present authors' knowledge this is the only case to have been treated.

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