Aortic Regurgitation and Mitral Regurgitation in a Patient Concomitant with Coronary-to-Bronchial Artery Communication
10.4326/jjcvs.43.177
- VernacularTitle:冠動脈-気管支動脈交通を伴う大動脈弁閉鎖不全症および僧帽弁閉鎖不全症の1手術例
- Author:
Masakazu Sogawa
;
Takuya Fukuda
;
Hisanaga Moro
- Publication Type:Journal Article
- Keywords:
coronary to bronchial artery communication;
myocardial ischemia;
combined valvular disease
- From:Japanese Journal of Cardiovascular Surgery
2014;43(4):177-180
- CountryJapan
- Language:Japanese
-
Abstract:
We report a rare case of combined valvular disease concomitant with the communication between the coronary and bronchial arteries. A 76-year-old woman was given a diagnosis of chronic heart failure 8 years previously and received medical therapy but recently she had dyspnea. Ultrasound cardiography revealed aortic regurgitation and mitral regurgitation. Cardiac catheterization confirmed the combined valvular disease and also revealed an aberrant coronary artery. Cardiac computed tomography showed coronary to bronchial artery communication, which caused myocardial ischemia. We performed aortic valve replacement with a bioprosthesis, mitral valve repair, and ligation and division of the aberrant coronary artery. Apart from some postoperative bronchial bleeding that ceased spontaneously the postoperative course was uneventful.
