Aortic Stenosis and Regurgitation with Aortic Subannular Left Ventricular Diverticulum and Occlusion of the Right Coronary Ostium by the Bicuspid Aortic Valve
- VernacularTitle:二尖大動脈弁による右冠動脈入口部閉塞と大動脈弁輪直下の先天性左室憩室を伴う大動脈弁狭窄兼閉鎖不全症の1例
- Author:
Iwao HIOKI
1
;
Yasuhisa URATA
1
;
Tomoaki SATO
1
;
Uhito YUASA
2
Author Information
- Keywords: occlusion of right coronary ostium; rudimentary aortic cusp; aortic subannular fibrous diverticulum; aortic valve replacement
- From:Japanese Journal of Cardiovascular Surgery 2019;48(4):234-238
- CountryJapan
- Language:Japanese
- Abstract: A 63-year old man was referred to our hospital with dyspnea on exertion and palpitation. An echocardiogram disclosed aortic stenosis and regurgitation, mitral regurgitation and tricuspid regurgitation. During cardiac catheterization, the right coronary ostium could not be cannulated, by coincidence, showed ventricular outpouching. Preoperative contrast-enhanced CT showed the partition wall isolating the right coronary ostium and the left ventricular outpouching in the subaortic valve area. The patient underwent aortic valve replacement after resection of the rudimentary right coronary cusp, and we resected the outpouching and closed the orifice with mattress sutures from the inside of the LV and the outside. Histopathology demonstrated that the resected outpouching was congenital fibrous left ventricular diverticulum.
